Individual provider Active NPI

Claire Zurack, MFT

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1730207200
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT31010 Issued in CA
Practice address
1401 Los Gamos Dr
Suite 200
San Rafael, CA 94903-1809
Phone
(415) 457-1925
Fax
(415) 457-1929
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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 MFT31010 CA Primary

Addresses

Primary practice location

1401 Los Gamos Dr
Suite 200
San Rafael, CA 94903-1809

Mailing address

11A Warner CT
San Rafael, CA 94901-3902
Phone (415) 457-1925

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
MFT31010CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1730207200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11A WARNER CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013902",
            "telephone_number": "415-457-1925",
            "fax_number": "415-457-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 LOS GAMOS DR",
            "address_2": "SUITE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031809",
            "telephone_number": "415-457-1925",
            "fax_number": "415-457-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZURACK",
        "first_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT31010",
            "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 May 31, 2016; 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.