CARLA AMARAL GONCALVES DE MELLO (NPI# 1699918367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699918367 |
| Entity Type | Individual |
| Full Name | CARLA AMARAL GONCALVES DE MELLO |
| Credential | MFT |
| Practice Address |
1748 Novato Blvd Ste 210 Novato CA 94947-7855 |
| Mailing Address |
1379 Joyce St Novato CA 94947-4520 |
| Practice Telephone | 4153426260 |
| Mailing Telephone | 4153426260 |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 86513 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 863 Francisco Blvd E Ste A, San Rafael, CA 949014782 | 4153426260 | |
| 300 Sunnyhills Dr, San Anselmo, CA 94960 | 4153426260 |
| Street Address |
1748 NOVATO BLVD STE 210 |
| City | NOVATO |
| State | CA |
| Zip Code | 94947-7855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255561932 | Tina Gale Mcmillan | Marriage & Family Therapist | 1748 Novato Blvd Ste 210, Novato, CA 94947-7855 | 2009-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| Find all providers in zip 94947 | ||||
| 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 |
|---|---|---|---|---|
| 1871105122 | Michelle Bonsignore | Marriage & Family Therapist | 1065 Via Escondida, Novato, CA 94949-5931 | 2020-08-18 |
| 1265061527 | Diane Jessie Oliver | Marriage & Family Therapist | 320 Marin Oaks Dr, Novato, CA 94949-5438 | 2020-04-07 |
| 1790311579 | Amy Allerheiligen | Marriage & Family Therapist | 50 Oak Shade Ln, Novato, CA 94945-3429 | 2020-03-12 |
| 1720549603 | Debra Lee Roesler | Marriage & Family Therapist | 2515 Laguna Vista Dr, Novato, CA 94945-1562 | 2019-03-25 |
| 1932601648 | Dawn Cheree Holiday-bruner | Marriage & Family Therapist | 6965 Redwood Blvd, Novato, CA 94945 | 2018-03-08 |
| 1205354636 | Pamela Ellen Challender | Marriage & Family Therapist | 631 Wilson Ave, Novato, CA 94947-3823 | 2017-09-06 |
| 1932637998 | Rick Joseph Scarpello | Marriage & Family Therapist | 1500 Grant Ave Ste 126, Novato, CA 94945-3181 | 2017-06-02 |
| 1649714312 | Myles Weiss | Marriage & Family Therapist | 1370 S Novato Blvd, Novato, CA 94947-4600 | 2016-12-14 |
| 1558789545 | Kristi Marie Hudson | Marriage & Family Therapist | 7250 Redwood Blvd., Suite 300, Novato, CA 94945 | 2014-04-07 |
| 1245504315 | Christina A Cowger | Marriage & Family Therapist | 7595 Redwood Blvd Ste 104, Novato, CA 94945-7705 | 2012-03-06 |
| Find all providers in NOVATO | ||||
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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.