Margaret Susan Shalen, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

32069 Issued in CA

Practice address

1703 5TH Ave
#201
San Rafael, CA 94901-1826

Phone

(415) 457-6864

Fax

(415) 488-0327

NPI assigned

Jul 8, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Peg Shalen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023041712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 5TH AVE",
            "address_2": "#201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011826",
            "telephone_number": "415-457-6864",
            "fax_number": "415-488-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 5TH AVE",
            "address_2": "#201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011826",
            "telephone_number": "415-457-6864",
            "fax_number": "415-488-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALEN",
        "first_name": "MARGARET",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "32069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MFT32069",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEG",
            "last_name": "SHALEN",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shideh N. Shadan, MD
• Jessica Posner Shafer
• Judith Shaffer, LCSW, LICSW
• Shannaleah Shahedi, MASTERS
• Elena Shakirova
• Georjana Grace Shames, L.AC.
• Karilee Halo Shames, PHD, RN, A-HNC
• Richard L. Shames, MD
• Helen Elizabeth Shamis, M.F.T.
• Shadi Shamshirgaran

• Marriage & Family Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.