1790216489 NPI number — CHILD THERAPY INSTITUTE OF MARIN

Table of content: (NPI 1790216489)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790216489 NPI number — CHILD THERAPY INSTITUTE OF MARIN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHILD THERAPY INSTITUTE OF MARIN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790216489
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/23/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1480 LINCOLN AVE
Provider Second Line Business Mailing Address:
#8
Provider Business Mailing Address City Name:
SAN RAFAEL
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94901-2084
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-456-7724
Provider Business Mailing Address Fax Number:
415-456-1050

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
240 TAMAL VISTA BLVD
Provider Second Line Business Practice Location Address:
#155
Provider Business Practice Location Address City Name:
CORTE MADERA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94925-1132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-456-7724
Provider Business Practice Location Address Fax Number:
415-456-1050
Provider Enumeration Date:
03/23/2017

Additional Information

Authorized Official

Authorized Official Last Name:
LUKAS
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
415-456-7724

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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