Mary Elizabeth Christy-Cirillo, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

32717 Issued in CA

Practice address

97 Rose Ave
Mill Valley, CA 94941-5031

Phone

(415) 613-6590

NPI assigned

Sep 27, 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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1093533267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 ROSE AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949415031",
            "telephone_number": "415-613-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ROSE AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949415031",
            "telephone_number": "415-613-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY-CIRILLO",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "32717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sareena Jaspal Chopra, M.D.
• Neha Choubey, DO
• Robert Spencer Christensen, O.D.
• Suzanne C Christie, M.D.
• Cassandra Rose Christopher, RDN
• Karen Ann Ciesnicki, PH.D.
• Clarity Relationship Therapy
• Sarah Clark, PHD
• Sarah Clark, RD
• Tara Marie Coghlin Dickson

• Marriage & Family Therapist in Mill Valley, CA
• Providers in Mill Valley, 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 Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.