Active NPI
Emily Tejani, MD MPH
- Child & Adolescent Psychiatry Physician
- Corte Madera, CA
National Provider Identifier
1144455361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 129789
- Practice address
- 45 San Clemente Dr
Suite D230E
Corte Madera, CA 94925-1244 - Phone
- (415) 510-2204
- NPI assigned
- May 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 129789 | CA | Primary |
Addresses
Primary practice location
45 San Clemente Dr
Suite D230E
Corte Madera, CA 94925-1244
Mailing address
45 San Clemente Dr
Suite D230E
Corte Madera, CA 94925-1244
Phone (415) 510-2204
Other names 1
- Emily Tejani
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 10, 2016 through Feb 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129789 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466208000000",
"number": "1144455361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SAN CLEMENTE DR",
"address_2": "SUITE D230E",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251244",
"telephone_number": "415-510-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 SAN CLEMENTE DR",
"address_2": "SUITE D230E",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251244",
"telephone_number": "415-510-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJANI",
"first_name": "EMILY",
"credential": "MD MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2016-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "129789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "TEJANI",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Corte Madera, CA
- Tancredi F. D'Amore, M.D Facs. a Medical Corporation
- Tania Davidson PSYD a Psychological Corporation
- Davida Taurek, LPCC
- David Henry Taylor, M.D.
- Rochelle L Teising, LMFT
- Makhetsi Tessien, LMFT
- The Child Therapy Institute of Marin
- The Spahr Center
- Thrifty Payless, Inc. (Rite Aid Corporation 05959)
- Rina Tinozzi, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.