Sonoma Psycho-Oncology

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFC39498 Issued in CA

Legal business name

SONOMA PSYCHO-ONCOLOGY

Practice address

1480 Lincoln Ave Ste 7
San Rafael, CA 94901-2085

Phone

(707) 888-7845

NPI assigned

Mar 4, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Michael Staples, MFTNPI 1083850622

Title

Director

Phone

(707) 888-7845

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.

• Michael Staples, MFT

  • Marriage & Family Therapist
  • Sonoma, CA
  • NPI 1083850622
  NPD (past) Authorized official

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1346480381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18370 CLAYTON AVE",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954764214",
            "telephone_number": "707-888-7845",
            "fax_number": "707-935-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 LINCOLN AVE STE 7",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012085",
            "telephone_number": "707-888-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOMA PSYCHO-ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-888-7845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC39498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorcas Ammeris Solivan Jimenez
• Katherine Solovieff Martin, CADC
• Teresa Ellen Somers, RN, PHN
• Joan Ellen Sommer, PHD
• Prisco Somontan
• Pamela Sorensen, F.N.P.
• Yvonne Lin Sorenson, PA-C
• Alexis Soria
• Jenny Soriano, MD
• Andrea Sosa

• Community/Behavioral Health Agency in San Rafael, CA
• Providers in San Rafael, 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 Mar 4, 2009; 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.