Marin Services for Women

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

210004CN Issued in CA

Legal business name

MARIN SERVICES FOR WOMEN

Practice address

1251 S Eliseo Dr
Greenbrae, CA 94904-2005

Phone

(415) 924-5995

Fax

(415) 924-6837

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

April J Antoniou

Title

Credentialing Services Manager

Phone

(805) 413-1318

Specialties & licenses 1

Addresses

Tax ID family

Marin Services for Women2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marin Services for Women

  • Substance Abuse Rehabilitation Facility
  • Greenbrae, CA
  • NPI 1811283120
  NPD tax ID

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124176581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 264",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623607",
            "telephone_number": "805-413-1318",
            "fax_number": "805-413-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S ELISEO DR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042005",
            "telephone_number": "415-924-5995",
            "fax_number": "415-924-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN SERVICES FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTONIOU",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING SERVICES MANAGER",
        "authorized_official_telephone_number": "805-413-1318"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "210004CN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marin Nephrology
• Marin Pediatric Associates, a Medical Corporation
• Marin Psychiatric Group, Inc.
• Marin Radiation Oncology Medical Group
• Marin Rheumatology, Inc.
• Marin Services for Women
• Marin Urology Medical Group, Inc
• Mark Bazalgette, M.D., Inc.
• Mark E Eastham M D a Professional Corporation
• Mark Michna, DDS, Inc.

• Substance Abuse Rehabilitation Facility in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.