Jennifer Malone, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

42564 Issued in CA

Practice address

150 Nellen Ave Ste 100
Corte Madera, CA 94925-1197

Phone

(415) 457-2487

Fax

(415) 457-5687

NPI assigned

Jun 24, 2014

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Dec 10, 2024 through Dec 10, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• The Spahr Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Corte Madera, CA
  • NPI 1225334154
  NPD Authorized official

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1629483045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NELLEN AVE STE 100",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251197",
            "telephone_number": "415-457-2487",
            "fax_number": "415-457-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NELLEN AVE STE 100",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251197",
            "telephone_number": "415-457-2487",
            "fax_number": "415-457-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "JENNIFER",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc.
• Julie Maccarin, PHD
• Madison Buchanan MD
• Catherine Elizabeth Main, PH. D.
• Tisha Mallon, L.AC., DIPL.AC.
• Laurie Margaritonda, PSYD
• Marin Advanced Dental Care
• Marin Gastroenterology
• Claudiu Marin, D.M.D.
• Mark J. Schiller, M.D., Professional Corporation

• Marriage & Family Therapist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.