NORTH MARIN COMMUNITY SERVICES (NPI# 1861556573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861556573 |
| Entity Type | Organization |
| Organization Name | NORTH MARIN COMMUNITY SERVICES |
| Practice Address |
680 Wilson Ave Novato CA 94947-3825 |
| Practice Telephone | 4158921643 |
| Practice Fax Number | 4158925098 |
| Mailing Telephone | 4158921643 |
| Mailing Fax Number | 4158925098 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | ALAINA CANTOR (DIRECTOR OF WELLNESS PROGRAMS) |
| Authorized Official Telephone | 4158974147 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1907 Novato Blvd, Novato, CA 949472912 | 4158974147 | |
| 6100 Redwood Blvd, Novato, CA 949454501 | 4159855012 |
| Street Address |
680 WILSON AVE |
| City | NOVATO |
| State | CA |
| Zip Code | 94947-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733506 | Marlia Keeley Newbold | Marriage & Family Therapist | 680 Wilson Ave, Novato, CA 94947-3825 | 2020-06-01 |
| 1639793359 | Carlynn Clifford | Marriage & Family Therapist | 680 Wilson Ave, Novato, CA 94947-3825 | 2020-05-29 |
| 1427672070 | Heidi Biersch | Counselor | 680 Wilson Ave, Novato, CA 94947-3825 | 2020-05-29 |
| 1801410444 | Melissa Lin Perry | Counselor | 680 Wilson Ave, Novato, CA 94947-3825 | 2020-05-29 |
| 1225651128 | Chelsea Fenton | Marriage & Family Therapist | 680 Wilson Ave, Novato, CA 94947-3825 | 2020-05-26 |
| 1932587292 | Carmen Perez | Counselor | 680 Wilson Ave, Novato, CA 94947-3825 | 2015-05-07 |
| 1558793380 | Michael David Eynon | Counselor | 680 Wilson Ave, Novato, CA 94947-3825 | 2013-08-03 |
| 1003258278 | Susan K Veenschoten | Student in an Organized Health Care Education/Training Program | 680 Wilson Ave, Novato, CA 94947-3825 | 2013-07-29 |
| 1124377932 | Tatiana Marie Diakoff | Student in an Organized Health Care Education/Training Program | 680 Wilson Ave, Novato, CA 94947-3825 | 2012-09-07 |
| 1306195755 | Katherine Stokes Macmorris | Student in an Organized Health Care Education/Training Program | 680 Wilson Ave, Novato, CA 94947-3825 | 2012-08-30 |
| Find all providers in the same location | ||||
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326384686 | Bay Area Community Resources, Inc. | Community/Behavioral Health | 15 San Marin Dr, Novato, CA 94945-1117 | 2012-12-13 |
| 1164771879 | Sonnee Weedn, Ph.d., Professional Corporation | Community/Behavioral Health | 3 Hamilton Lndg, Suite 230, Novato, CA 94949-8248 | 2012-09-10 |
| 1073579926 | Buckelew Program | Community/Behavioral Health | 201 Alameda Del Prado, Suite 201, Novato, CA 94949-6698 | 2006-04-20 |
| 1447754957 | Jasmit K Metla | Community/Behavioral Health | 6100 Redwood Blvd, Novato, CA 94945-4501 | 2018-03-20 |
| 1093170060 | Ritter Center | Community/Behavioral Health | 1399 N Hamilton Pkwy, Classroom 2, Novato, CA 94949-8206 | 2015-12-17 |
| 1033504931 | Center Point, Inc. | Community/Behavioral Health | 1399 N Hamilton Pkwy, Novato, CA 94949-8206 | 2015-03-30 |
| 1972993616 | Buckelew Programs | Community/Behavioral Health | 201 Alameda Del Prado Ste 103, Novato, CA 94949-6698 | 2015-02-03 |
| 1447581020 | Novato Wellness Center | Community/Behavioral Health | 1767 Grant Ave, Novato, CA 94945-2229 | 2010-01-21 |
| 1003060674 | Bay Area Community Resources, Inc. | Community/Behavioral Health | 611 Arthur St, Rm 4 and Counseling Ofc., Novato, CA 94947-4499 | 2008-11-10 |
| 1134251176 | Stanislaus County | Community/Behavioral Health | 655 Canyon Rd, Novato, CA 94947-4331 | 2007-03-12 |
| 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.