Individual provider Active NPI

Martha Radetsky, MFT

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1144254566
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 36377 Issued in CA
Practice address
2400 Las Gallinas Ave Ste 135
San Rafael, CA 94903-1452
Phone
(415) 246-0400
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 MFC 36377 CA Primary

Addresses

Primary practice location

2400 Las Gallinas Ave Ste 135
San Rafael, CA 94903-1452

Mailing address

201 Sylvia Way
San Rafael, CA 94903-3143
Phone (415) 246-0400

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
MFC 36377CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: martha.radetskymft.p1@direct.ppnorcal.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1144254566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SYLVIA WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033143",
            "telephone_number": "415-246-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAS GALLINAS AVE STE 135",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031452",
            "telephone_number": "415-246-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADETSKY",
        "first_name": "MARTHA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 36377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.