NPIMap

Organization Active NPI

The Child Therapy Institute of Marin

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Pablo, CA
National Provider Identifier
1730662818
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE CHILD THERAPY INSTITUTE OF MARIN
Practice address
13925 San Pablo Ave Ste 201&203&205
San Pablo, CA 94806-3652
Phone
(415) 456-7724
NPI assigned
Sep 13, 2018
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sherie Shughart
Title
Office Manager
Phone
(415) 456-7724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

13925 San Pablo Ave Ste 201&203&205
San Pablo, CA 94806-3652

Mailing address

1480 Lincoln Ave Ste 8
San Rafael, CA 94901-2085

National Provider Directory

National Provider Directory
Tax ID family
Child Therapy Institute of Marin21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

13925 San Pablo Ave
Ste 20120
San Pablo, CA 94806

13925 San Pablo Ave
Ste 203
San Pablo, CA 94806
Phone (510) 525-6225

13925 San Pablo Ave
Ste 203205
San Pablo, CA 94806

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1730662818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 LINCOLN AVE STE 8",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 SAN PABLO AVE STE 201&203&205",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063652",
            "telephone_number": "415-456-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILD THERAPY INSTITUTE OF MARIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "SHUGHART",
        "authorized_official_first_name": "SHERIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-456-7724"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.