DBT Psychology Center of Marin, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY24516 Issued in CA

Legal business name

DBT PSYCHOLOGY CENTER OF MARIN, PC

Practice address

895 Sir Francis Drake Blvd
San Anselmo, CA 94960-1916

Phone

(415) 699-7464

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Alicia Smart, PSYD

Title

Ceo

Phone

(415) 459-5206

Specialties & licenses 1

Addresses

Other names 1

• DBT CENTER OF MARIN Doing business as

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1154776516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 SIR FRANCIS DRAKE BLVD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601916",
            "telephone_number": "415-699-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 SIR FRANCIS DRAKE BLVD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601916",
            "telephone_number": "415-699-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBT PSYCHOLOGY CENTER OF MARIN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-459-5206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBT CENTER OF MARIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Idell Czuleger, OTR/L
• Katharine Way Darlington, RN, BSN, MBA
• Kathleen Daunoras, PHARMD
• David P Van Peursem DDS a Professional Corporation
• DBT Center of Marin
• Michael Defino, DC
• Noah Chris Dehlinger, DDS
• Kathrin Dellago
• Alexander Lewis Dewolfe, RADT
• Andrea Dindinger de Csepel

• Clinical Psychologist in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.