FAMILY SERVICE AGENCY OF MARIN (NPI# 1972655678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972655678 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE AGENCY OF MARIN |
| Practice Address |
384 Panoramic Hwy Mill Valley CA 94941-2646 |
| Mailing Address |
555 Northgate Dr San Rafael CA 94903-3680 |
| Practice Telephone | 4158883384 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIANE A. SUFFRIDGE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4154915700 |
| Authorized Official Credential | PHD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| 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 |
| 1548270267 | Family Service Agency of Marin | Clinic/Center | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2006-08-08 |
| 1376713412 | Family Service Agency of Marin | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2008-03-05 |
| Street Address |
384 PANORAMIC HWY |
| City | MILL VALLEY |
| State | CA |
| Zip Code | 94941-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104093053 | Caroline Mary Daate | Counselor | 384 Panoramic Hwy, Mill Valley, CA 94941-2646 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707464 | Onward Cares, Inc. | Private Vehicle | 201 Morning Sun Ave, Mill Valley, CA 94941 | 2020-07-09 |
| 1255973848 | Cara Nicole Christie | Dietitian, Registered | 35 Miller Avenue Suite #273, Mill Valley, CA 94941 | 2019-10-15 |
| 1538698774 | Shari Lyn Coskey | Psychologist | 311 Miller Ave Ste A-1, Mill Valley, CA 94941 | 2017-06-10 |
| 1225572662 | Katelynn Allen | Physical Therapist | 421 Miller Ave, Mill Valley, CA 94941 | 2016-12-05 |
| 1134591340 | Sheree Lyn Reed | Pharmacist | 800 Redwood Hwy, Frontage Rd #10, Mill Valley, CA 94941 | 2015-10-27 |
| 1235527904 | Sheila Francis Lynch | Social Worker | 33 Millwood Street, Suite #3, Mill Valley, CA 94941 | 2015-01-05 |
| 1790197580 | Linden Farrar Berry | Marriage & Family Therapist | 275 Miller Avenue, Mill Valley, CA 94941 | 2014-05-28 |
| 1073930343 | Eman Elmi | Podiatrist | 7 North Knoll Road Suite 3, Mill Valley, CA 94941 | 2014-03-25 |
| 1053657726 | Susan Pauly-o'neill | Nurse Practitioner | 750 Redwood Hwy Frontage Rd, Mill Valley, CA 94941 | 2012-12-27 |
| 1598049652 | John Deri | Psychiatry & Neurology | 10 Millwood Street, Suite #4, Mill Valley, CA 94941 | 2011-10-06 |
| Find all providers in zip 94941 | ||||
| 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 |
|---|---|---|---|---|
| 1083014773 | Benjaminrussack | Community/Behavioral Health | 20 Shelley Dr Apt 6, Mill Valley, CA 94941-1562 | 2014-08-29 |
| 1619435864 | Joseph Mauch | Community/Behavioral Health | 240 Miller Ave Ste A, Mill Valley, CA 94941-2858 | 2019-03-06 |
| 1013312982 | Platt Marriage and Family Therapy Corporation | Community/Behavioral Health | 311 Miller Ave, Suite E, Mill Valley, CA 94941-2884 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | MILL VALLEY |
| Zip Code | 94941 |
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.