Active NPI
Dana Cherry
- Marriage & Family Therapist
- San Rafael, CA
National Provider Identifier
1437565033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTI#77175
- Practice address
- 361 3Rd St
Suite G
San Rafael, CA 94901-3541 - Phone
- (415) 258-4944
- Fax
- (415) 258-4943
- NPI assigned
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- No
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 | MFTI#77175 | CA | Primary |
Addresses
Primary practice location
361 3Rd St
Suite G
San Rafael, CA 94901-3541
Mailing address
361 3Rd St
Suite G
San Rafael, CA 94901-3541
Phone (415) 258-4944
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTI#77175 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1437565033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 3RD ST",
"address_2": "SUITE G",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013541",
"telephone_number": "415-258-4944",
"fax_number": "415-258-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 3RD ST",
"address_2": "SUITE G",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013541",
"telephone_number": "415-258-4944",
"fax_number": "415-258-4943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "DANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFTI#77175",
"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 Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.