Penny Lynn Swaybill, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

900 5TH Ave
Suite 150
San Rafael, CA 94901-2959

Phone

(415) 457-6964

NPI assigned

Dec 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1447529599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MONTECITO AVE APT B",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949253501",
            "telephone_number": "415-924-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 5TH AVE",
            "address_2": "SUITE 150",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012959",
            "telephone_number": "415-457-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAYBILL",
        "first_name": "PENNY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKELEW PROGRAMS",
            "identifier": "237088977",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzie Yang, DDS, Inc
• Gloria Sverchek, MFTI
• Frances Svidler, DPM
• Jawana J Swanson, RCP, RRT
• Courtney Alexandra Swatta, M.A., PSY D.
• Pamela Christina Sweeney, M.A., L.M.F.T.
• Kristen Sweet
• Michelle Marie Sweetser, CADC
• Rehan Ryan Mir Syed, MD, MSC
• Barbara J Sylvester, MSW LCSW

• Mental Health Counselor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.