Individual provider Active NPI

Mark Jeffrey Schiller, M.D.

  • Psychiatry Physician
  • Corte Madera, CA
National Provider Identifier
1245445170
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G76519 Issued in CA
Practice address
100 Tamal PLZ Ste 200
Corte Madera, CA 94925-1063
Phone
(415) 945-9870
Fax
(415) 945-9325
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G76519 CA Primary

Addresses

Primary practice location

100 Tamal PLZ Ste 200
Corte Madera, CA 94925-1063

Mailing address

100 Tamal PLZ Ste 200
Corte Madera, CA 94925-1063
Phone (415) 945-9870

Other practice location 1

2299 Post St Ste 104A
San Francisco, CA 94115-3443
Phone (415) 945-9870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 28, 2012 through Dec 28, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mark J. Schiller, M.D., Professional Corporation Psychiatry Current Accepting new patients

Locations

150 Nellen Ave
Ste 100
Corte Madera, CA 94925
Phone (415) 238-6470

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1245445170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TAMAL PLZ STE 200",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251063",
            "telephone_number": "415-945-9870",
            "fax_number": "415-945-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TAMAL PLZ STE 200",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251063",
            "telephone_number": "415-945-9870",
            "fax_number": "415-945-9325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2299 Post St Ste 104A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153443",
            "country_code": "US",
            "telephone_number": "415-945-9870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHILLER",
        "first_name": "MARK",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G76519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

Verify at the official NPI Registry.