Jeremy M Snitkin, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC41494 Issued in CA

Practice address

300 Professional Center Dr
Suite 322
Novato, CA 94947-4334

Phone

(415) 717-9945

NPI assigned

Apr 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1235302811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 TAMALPAIS AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473064",
            "telephone_number": "415-717-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 322",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474334",
            "telephone_number": "415-717-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNITKIN",
        "first_name": "JEREMY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BBS",
            "identifier": "MFC41494",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Smith
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• Roy Ulysses Smith, M.S.
• Wayne Randolph Smith, HT
• Sneeco
• Max Wolfe Sobel, LCSW
• Elizabeth Sockolov, LMFT
• Grace Kang Song
• Sonnee Weedn, PH.D., Professional Corporation
• Sonnee Weedn, PHD, a Professional Corporation

• Marriage & Family Therapist in Novato, CA
• Providers in Novato, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.