Individual provider Active NPI

Douglas Marc Silberstein, MFT

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1376781377
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 46503 Issued in CA
Practice address
4 Joseph CT
San Rafael, CA 94903-2609
Phone
(415) 492-0720
NPI assigned
Jan 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 46503 CA Primary

Addresses

Primary practice location

4 Joseph CT
San Rafael, CA 94903-2609

Mailing address

517 Miller Creek Rd
San Rafael, CA 94903-1319
Phone (415) 846-9397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 46503CAMDMarriage & Family Therapist
46503CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Works Past Accepting new patients

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": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1376781377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 MILLER CREEK RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031319",
            "telephone_number": "415-846-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JOSEPH CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032609",
            "telephone_number": "415-492-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBERSTEIN",
        "first_name": "DOUGLAS",
        "middle_name": "MARC",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 46503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.