Organization Active NPI

MCCT

  • Case Management Agency
  • Sausalito, CA
National Provider Identifier
1073494514
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MCCT
Practice address
2330 Marinship Way Ste 150
Sausalito, CA 94965-2847
Phone
(919) 771-7412
NPI assigned
Sep 10, 2025
Organization subpart
Yes
Parent organization
MCCTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Jahmeer Ruhl Reynolds
Title
Founder/Executive Director
Phone
(919) 771-7412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2330 Marinship Way Ste 150
Sausalito, CA 94965-2847

Mailing address

2330 Marinship Way Ste 150
Sausalito, CA 94965-2847
Phone (919) 771-7412

National Provider Directory

National Provider Directory
Part of
MCCT

Locations

2330 Marinship Way
Ste 150
Sausalito, CA 94965
Phone (919) 771-7412

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1073494514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 MARINSHIP WAY STE 150",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652847",
            "telephone_number": "919-771-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 MARINSHIP WAY STE 150",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652847",
            "telephone_number": "919-771-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCT",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JAHMEER",
        "authorized_official_middle_name": "RUHL",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-771-7412"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sausalito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.