Active NPI
MCCT
- Case Management Agency
- Sausalito, CA
National Provider Identifier
1073494514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
- MCCT
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.