Organization Active NPI

Marin County Community Mental Health Services

  • Public Health or Welfare Agency
  • San Rafael, CA
National Provider Identifier
1023105244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MARIN COUNTY COMMUNITY MENTAL HEALTH SERVICES
Practice address
161 Mitchell Blvd
San Rafael, CA 94903-2068
Phone
(415) 499-7594
NPI assigned
Oct 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Stephanie Renee Crampton, M.A.NPI 1356424188
Title
Psychology Intern
Phone
(415) 499-7594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

161 Mitchell Blvd
San Rafael, CA 94903-2068

Mailing address

1800 Broadway Apt 202
San Francisco, CA 94109-2232
Phone (415) 440-4606

National Provider Directory

National Provider Directory

Locations

161 Mitchell Blvd
San Rafael, CA 94903
Phone (415) 499-6777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023105244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BROADWAY APT 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941092232",
            "telephone_number": "415-440-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MITCHELL BLVD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032068",
            "telephone_number": "415-499-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN COUNTY COMMUNITY MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAMPTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PSYCHOLOGY INTERN",
        "authorized_official_telephone_number": "415-499-7594",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.