Individual provider Active NPI

Christine Ann Spinda

  • Marriage & Family Therapist
  • San Anselmo, CA
National Provider Identifier
1104016492
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 49126 Issued in CA
Practice address
300 Sunnyhills Dr
San Anselmo, CA 94960-1909
Phone
(916) 509-0021
Fax
(916) 509-0021
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 49126 CA Primary

Addresses

Primary practice location

300 Sunnyhills Dr
San Anselmo, CA 94960-1909

Mailing address

300 Sunnyhills Dr
San Anselmo, CA 94960-1909
Phone (916) 509-0021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF 49126CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1104016492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SUNNYHILLS DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601909",
            "telephone_number": "916-509-0021",
            "fax_number": "916-509-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SUNNYHILLS DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601909",
            "telephone_number": "916-509-0021",
            "fax_number": "916-509-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINDA",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 49126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.