Active NPI
Lynn Ellen Marcus, M.S.
- Marriage & Family Therapist
- Castro Valley, CA
National Provider Identifier
1225128549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC30429
- Practice address
- 20200 Redwood Rd
Castro Valley, CA 94546-4313 - Phone
- (510) 632-2244
- NPI assigned
- Oct 15, 2006
- Last updated
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC30429 | CA | Primary |
Addresses
Primary practice location
20200 Redwood Rd
Castro Valley, CA 94546-4313
Mailing address
PO Box 27206
Oakland, CA 94602-0406
Phone (510) 632-2244
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC30429 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1225128549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27206",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946020406",
"telephone_number": "510-632-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20200 REDWOOD RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945464313",
"telephone_number": "510-632-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "LYNN",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-15",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC30429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.