DR. JOHN VROUNDGOS NICHOLAS (NPI# 1558396481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558396481 |
Entity Type | Individual |
Full Name | DR. JOHN VROUNDGOS NICHOLAS |
Credential | PH.D. |
Practice Address |
15 Park Dr San Anselmo CA 94960-1717 |
Practice Telephone | 4154550854 |
Mailing Telephone | 4154550854 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | MFC14835 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MARITAL FAMILY THERAPIST | MFC14835 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962636092 | John David Nicholas | Counselor | 300 W Discovery Park Blvd, Safford, AZ 85546-2297 | 2009-05-04 |
1154747608 | John Nicholas | Counselor | 1201 S Proctor St, Tacoma, WA 98405-2047 | 2014-03-07 |
1245668292 | John Daniel Nicholas | Physician Assistant | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2013-10-29 |
1912928342 | John Nicholas | Dentist | 231 Kinderkamack Rd, Westwood, NJ 07675-2203 | 2006-07-21 |
1891733036 | John G. Nicholas | Anesthesiology | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2006-06-02 |
Street Address |
15 PARK DR |
City | SAN ANSELMO |
State | CA |
Zip Code | 94960-1717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568987261 | Janna Alene Bennett | Nurse Practitioner | 67 Yolanda Dr, San Anselmo, CA 94960 | 2017-08-03 |
1144750720 | Jill M Cochrane | Speech-Language Pathologist | 394 Redwood Rd, San Anselmo, CA 94960 | 2017-06-15 |
1871952655 | Christa Santangelo Phd | Community/Behavioral Health | 130 Greenfield Avenue, San Anselmo, CA 94960 | 2016-02-22 |
1295856177 | Joseph Odom | Acupuncturist | 22 Belle Avenue, #8, San Anselmo, CA 94960 | 2007-04-02 |
1720133648 | Carol Elizabeth Fabric | Marriage & Family Therapist | 21 Encina Place, San Anselmo, CA 94960 | 2007-01-23 |
1053472134 | Pamela Jankelow | Acupuncturist | 412 Redhill Ave, San Anselmo, CA 94960 | 2006-12-13 |
1023182631 | Heather L. Murphy | Counselor | 300 Sunny Hills Dr., San Anselmo, CA 94960 | 2006-11-17 |
1720164684 | Laurie J. Weiss | Marriage & Family Therapist | 300 Sunny Hills Dr, San Anselmo, CA 94960 | 2006-10-31 |
1295836708 | Pearlyn Goodman-herrick | Naturopath | 1429 Butterfield Rd, San Anselmo, CA 94960 | 2006-09-26 |
1518999010 | Neurology Clinic of Marin, A Medical Corporation | Psychiatry & Neurology | 50 Red Hill Ave, San Anselmo, CA 94960 | 2006-07-07 |
Find all providers in zip 94960 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356703441 | Louis Armstrong-dangles | Marriage & Family Therapist | 74 Madrone Ave, San Anselmo, CA 94960-2026 | 2016-03-28 |
1366769002 | Gabriel F Rabu | Marriage & Family Therapist | 38 Ash Ave, San Anselmo, CA 94960-1803 | 2010-04-20 |
1922242437 | Kate E Brennan | Marriage & Family Therapist | 558 San Anselmo Ave, San Anselmo, CA 94960-2621 | 2009-04-28 |
1184880601 | Keri Kathleen Olrich | Marriage & Family Therapist | 2 Irving Drive, San Anselmo, CA 94960-1003 | 2008-08-04 |
1053570366 | Gabrielle M. Miranda | Marriage & Family Therapist | 558 San Anselmo Ave Ste C, San Anselmo, CA 94960-2621 | 2008-06-03 |
1205040102 | Alma Dunstan-mcdaniel | Marriage & Family Therapist | 44 Ash Ave., San Anselmo, CA 94960-1480 | 2007-05-09 |
1306067483 | Ada Rosalyn Smith | Marriage & Family Therapist | 230 Floribel Ave, San Anselmo, CA 94960-2262 | 2007-05-02 |
1720133648 | Carol Elizabeth Fabric | Marriage & Family Therapist | 21 Encina Place, San Anselmo, CA 94960 | 2007-01-23 |
1376606913 | Ted Stewart Cousens | Marriage & Family Therapist | 130 Greenfield Ave Ste A, San Anselmo, CA 94960-2451 | 2006-12-18 |
1376622555 | Joyce Elaine Thomson | Marriage & Family Therapist | 15 Austin Ave, San Anselmo, CA 94960-2924 | 2006-11-06 |
Find all providers in SAN ANSELMO |
City | SAN ANSELMO |
Zip Code | 94960 |
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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.