Marti J Briscoe, PSY.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19101 Issued in CA

Practice address

203 E Blithedale Ave
Suite a
Mill Valley, CA 94941-2046

Phone

(415) 721-9992

Fax

(415) 389-1073

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Darrell Broaddus Psychological Services PC

  • Clinical Psychologist
  • Orangevale, CA
  • NPI 1215339650
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487879169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949140621",
            "telephone_number": "415-721-9992",
            "fax_number": "415-389-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E BLITHEDALE AVE",
            "address_2": "SUITE A",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412046",
            "telephone_number": "415-721-9992",
            "fax_number": "415-389-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "MARTI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "19101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn H Bray, PHD
• Lisa Christine Brent, N.D.
• Lawrence Brent Brilliant, M.D.
• Mary Rachel Brinker, D.M.D.
• Julie Brinkman
• Vivian Marie Broadway-Firmage, DDS
• Amie Brooke, LIC. AC.
• Thomas Brookshire, P.A.
• Jonathan Brown, PHD, MFT
• Madison Brown, DDS

• Clinical Social Worker in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.