Lucy O'Dwyer

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

130395 Issued in CA

Practice address

822 D St
San Rafael, CA 94901-2814

Phone

(510) 527-1918

NPI assigned

Jan 15, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Big Life Change Therapy

  • Counselor
  • San Rafael, CA
  • NPI 1669311007
  NPD (past)

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1033980362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 JUDAH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222114",
            "telephone_number": "415-992-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 D ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012814",
            "telephone_number": "510-527-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DWYER",
        "first_name": "LUCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew O'Byrne, PH.D.
• Robynne O'Byrne, PH.D.
• Leslie Ann O'Connell, PH.D.
• Karen R O'Dea, LPC
• Megan Fuller O'Donnell
• Dorothy O'Leary, MFT
• Samantha Eileen O'Neill, MS
• Judith A Obedzinski, NP
• Jane Mardelette Lim Obenieta, OTR
• Nata Oberg, LMFT #153223

• 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 Jan 15, 2024; 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.