FAMILY SERVICE AGENCY OF MARIN (NPI# 1548270267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548270267 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE AGENCY OF MARIN |
| Practice Address |
555 Northgate Dr San Rafael CA 94903-3680 |
| Practice Telephone | 4154915700 |
| Practice Fax Number | 4154915750 |
| Mailing Telephone | 4154915700 |
| Mailing Fax Number | 4154915750 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARGARET HALLETT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4154915700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538206719 | Family Service Agency of Marin | Clinic/Center | 124 Belvedere St, San Rafael, CA 94901-4701 | 2007-01-30 |
| 1811034051 | Family Service Agency of Marin | Clinic/Center | 1907 Novato Blvd, Novato, CA 94947-2912 | 2007-01-30 |
| 1972655678 | Family Service Agency of Marin | Community/Behavioral Health | 384 Panoramic Hwy, Mill Valley, CA 94941-2646 | 2007-01-16 |
| 1376713412 | Family Service Agency of Marin | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2008-03-05 |
| Street Address |
555 NORTHGATE DR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-3680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807077 | Jose Luis Tijero Jr. | Counselor | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2017-12-26 |
| 1952845869 | Jessica Copeland | Counselor | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2016-12-12 |
| 1235599036 | Connie Mann | Counselor | 555 Northgate Dr, Suite 200, San Rafael, CA 94903-3680 | 2016-03-07 |
| 1932595683 | Stephanie Schuman | Counselor | 555 Northgate Dr, Suite 200, San Rafael, CA 94903-3680 | 2015-04-09 |
| 1285043620 | Megan Fuller O'donnell | Counselor | 555 Northgate Dr, Suite 100 Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2014-08-11 |
| 1801147103 | Marion Turner-riley | Counselor | 555 Northgate Dr, Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2012-09-26 |
| 1801147616 | Teresa Michelle Vera | Counselor | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2012-09-20 |
| 1629326798 | Stephanie Claire Lai | Counselor | 555 Northgate Dr, Suite 100, San Rafael, CA 94903-3680 | 2012-08-21 |
| 1831460476 | Joanne Forman | Counselor | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2012-01-12 |
| 1619247525 | Sasha A Papovich | Counselor | 555 Northgate Dr, Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2012-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1891968855 | County of Marin | Clinic/Center | 3270 Kerner Boulevard, Building A, San Rafael, CA 94901-4841 | 2008-04-10 |
| 1326258856 | County of Marin | Clinic/Center | 10 North San Pedro, Suite 1020, San Rafael, CA 94903-4178 | 2007-05-23 |
| 1619014081 | Child Therapy Institute of Marin | Clinic/Center | 1480 Lincoln Ave Ste 8, San Rafael, CA 94901-2085 | 2007-02-01 |
| 1538206719 | Family Service Agency of Marin | Clinic/Center | 124 Belvedere St, San Rafael, CA 94901-4701 | 2007-01-30 |
| 1194323881 | Lehman Therapy: Individual, Partner, and Family Counseling, Inc. | Clinic/Center | 1717 5th Ave Ste E, San Rafael, CA 94901-1810 | 2020-10-14 |
| 1184823700 | Roberta Seifert Phd A Psychological Corporation | Clinic/Center | 817 D St, San Rafael, CA 94901-2813 | 2007-07-13 |
| 1891820577 | County of Marin Community Mental Health Services | Clinic/Center | 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903-4158 | 2007-02-22 |
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| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on FAMILY SERVICE AGENCY OF MARIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.