Marin Outpatient Recovery Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

01131697 Issued in CA

Legal business name

MARIN OUTPATIENT RECOVERY SERVICES

Practice address

11 Albion St
San Rafael, CA 94901-5201

Phone

(415) 879-1723

NPI assigned

Feb 17, 2015

Organization subpart

No

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

Authorized official

Name

Lindsay Ferguson, DIRECTOR

Title

Director

Phone

(415) 215-1858

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominique MC Dowell, CADC-CAS

  • Addiction (Substance Use Disorder) Counselor
  • San Rafael, CA
  • NPI 1881059210
  NPD (past)

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1053702787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ALBION ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015201",
            "telephone_number": "415-879-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ALBION ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015201",
            "telephone_number": "415-879-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN OUTPATIENT RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-215-1858",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "03131697",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "01131697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marin Ophthalmic Consultants, a Medical Corporation
• Marin Ophthalmic Gallary
• Marin Ophthalmic Surgery Center
• Marin Optometric Group, Inc
• Marin Outpatient and Recovery Services
• Marin Petct Imaging, LLC
• Marin Physical Therapy, Inc.
• Marin Senior Coordinating Council
• Marin Treatment Center
• Marin Wellness Pharmacy, Inc.

• Community/Behavioral Health Agency in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.