Marlia Keeley Newbold, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

115640 Issued in CA

Practice address

680 Wilson Ave
Novato, CA 94947-3825

Phone

(415) 892-1643

NPI assigned

Jun 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Marin Community Services

  • Community/Behavioral Health Agency
  • Novato, CA
  • NPI 1861556573
  NPD

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1033733506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 QUIETWOOD DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031338",
            "telephone_number": "773-259-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 WILSON AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473825",
            "telephone_number": "415-892-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBOLD",
        "first_name": "MARLIA",
        "middle_name": "KEELEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Ann Naylor
• Barry Michael Nemrow, DPM
• Maud Haimson Nerman, D.O.
• Nest Psychotherapy Inc
• New 2 You Skin & Body
• Robert Lee Newbury, MD
• Horace B Newhard, M.D.
• Cassidy Newman
• Jason Cory Newman
• Rebecca Newton

• Marriage & Family Therapist in Novato, CA
• Providers in Novato, 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 Jun 1, 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.