Individual provider Active NPI

Christina Brittany, MFT

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1598987620
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT19329 Issued in CA
Practice address
86 Dockside Cir
San Rafael, CA 94903-2290
Phone
(707) 252-2023
Fax
(415) 492-9303
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFT19329 CA Primary

Addresses

Primary practice location

86 Dockside Cir
San Rafael, CA 94903-2290

Mailing address

86 Dockside Cir
San Rafael, CA 94903-2290
Phone (707) 252-2023

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

LicenseStateTypeSpecialty
MFT19329CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598987620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 DOCKSIDE CIR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032290",
            "telephone_number": "707-252-2023",
            "fax_number": "415-492-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 DOCKSIDE CIR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032290",
            "telephone_number": "707-252-2023",
            "fax_number": "415-492-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTANY",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT19329",
            "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 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.