Active NPI
Meridith Hayos, LMFT, JD
- Marriage & Family Therapist
- San Rafael, CA
National Provider Identifier
1417343294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT#85873
- Practice address
- 185 N Redwood Dr Ste 225
San Rafael, CA 94903-1980 - Phone
- (415) 448-6663
- Fax
- (628) 240-3925
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT#85873 | CA | Primary |
Addresses
Primary practice location
185 N Redwood Dr Ste 225
San Rafael, CA 94903-1980
Mailing address
185 N Redwood Dr Ste 225
San Rafael, CA 94903-1980
Phone (415) 448-6663
Other practice location 1
4 Joseph Ct
San Rafael, CA 94903-2609
Phone (415) 492-0720 ext. 311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT#85873 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- San Rafael, CA
- NPI 1548449606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1417343294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 N REDWOOD DR STE 225",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949031980",
"telephone_number": "415-448-6663",
"fax_number": "628-240-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 N REDWOOD DR STE 225",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949031980",
"telephone_number": "415-448-6663",
"fax_number": "628-240-3925"
}
],
"practiceLocations": [
{
"address_1": "4 Joseph Ct",
"address_purpose": "LOCATION",
"city": "San Rafael",
"state": "CA",
"postal_code": "949032609",
"country_code": "US",
"telephone_number": "415-492-0720 x311",
"fax_number": "415-492-1099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYOS",
"first_name": "MERIDITH",
"credential": "LMFT, JD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT#85873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.