NPIMap

Organization Active NPI

Mulder & Baumbacher MDS Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Corte Madera, CA
National Provider Identifier
1356779359
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
G75410 Issued in CA
Legal business name
MULDER & BAUMBACHER MDS INC.
Practice address
300 Tamal PLZ Ste 150
Corte Madera, CA 94925-1160
Phone
(415) 924-2195
Fax
(415) 924-3841
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Caroline Mulder, MDNPI 1447588975
Title
Secretary/Treasurer
Phone
(415) 924-3801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X G20951 CA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X G75410 CA Primary

Addresses

Primary practice location

300 Tamal PLZ Ste 150
Corte Madera, CA 94925-1160

Mailing address

300 Tamal PLZ Ste 150
Corte Madera, CA 94925-1160
Phone (415) 924-2195

Other names 1

  • North Bay TMS Doing business as

National Provider Directory

National Provider Directory

Locations

300 Tamal Plz
Ste 150
Corte Madera, CA 94925
Phone (415) 496-0223

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1356779359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TAMAL PLZ STE 150",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251160",
            "telephone_number": "415-924-2195",
            "fax_number": "415-924-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TAMAL PLZ STE 150",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251160",
            "telephone_number": "415-924-2195",
            "fax_number": "415-924-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULDER & BAUMBACHER MDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "MULDER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "415-924-3801",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "G20951",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "G75410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bay TMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.