Family Recovery Institute

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25112 Issued in CA

Legal business name

FAMILY RECOVERY INSTITUTE

Practice address

1800 Lincoln Ave
Suite 200
San Rafael, CA 94901

Phone

(415) 322-0939

Fax

(415) 448-5309

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Bruce Perlmutter, PHD

Title

Founder/Director

Phone

(415) 322-0939

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Cobar

  • Marriage & Family Therapist
  • San Rafael, CA
  • NPI 1184336612
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1164915112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LINCOLN AVE",
            "address_2": "SUITE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-322-0939",
            "fax_number": "415-448-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LINCOLN AVE",
            "address_2": "SUITE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-322-0939",
            "fax_number": "415-448-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RECOVERY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "PERLMUTTER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "415-322-0939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay F. Fairborn, MD
• Tanya Fairclough
• Michal Falk, PHD
• Sabrine Falla
• Family Matters of Marin
• Family Service Agency
• Family Service Agency
• Family Service Agency of Marin
• Family Service Agency of Marin
• Family Service Agency of Marin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.