Mary Good LMFT 97461

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LMFT 97461 Issued in CA

Legal business name

MARY GOOD LMFT 97461

Practice address

5796 Blank Rd
Sebastopol, CA 95472-6114

Phone

(415) 552-6446

NPI assigned

Jan 5, 2017

Organization subpart

No

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

Authorized official

Name

Mary Good, LMFT

Title

Psychotherapist

Phone

(415) 552-6446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1225573835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954730912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5796 BLANK RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954726114",
            "telephone_number": "415-552-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY GOOD LMFT 97461",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "415-552-6446",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LMFT 97461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adiah Martinez
• Isabel Brooke Martinez, L.AC.
• Javier Martinez
• Nathalie Martinez, ASW
• Patricia Donovan Martinez, P.T.
• Nicole Marie Matos
• Scott Shigeji Matsuura, LCSW 85567
• Taylor Ashleigh Matthews, MA, LMFT
• Holly Ann Matticola, P.T.A.
• Sue B May, RAS

• Community/Behavioral Health Agency in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.