Individual provider Active NPI

Jonathan Pofsky, MFT

  • Marriage & Family Therapist
  • Corte Madera, CA
National Provider Identifier
1457768434
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43662 Issued in CA
Practice address
45 San Clemente Dr
Suite B 120
Corte Madera, CA 94925-1244
Phone
(415) 577-5338
NPI assigned
Jul 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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 43662 CA Primary

Addresses

Primary practice location

45 San Clemente Dr
Suite B 120
Corte Madera, CA 94925-1244

Mailing address

45 San Clemente Dr
Suite B 120
Corte Madera, CA 94925-1244

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

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1457768434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SAN CLEMENTE DR",
            "address_2": "SUITE B 120",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SAN CLEMENTE DR",
            "address_2": "SUITE B 120",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251244",
            "telephone_number": "415-577-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POFSKY",
        "first_name": "JONATHAN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 22, 2014; 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.