Individual provider Active NPI

Wendy Labov Dunne, LMFT

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1740489178
Registry record updated Aug 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT52695 Issued in CA
Practice address
1368 Lincoln Ave Ste 108
San Rafael, CA 94901
Phone
(415) 488-5591
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2018

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 LMFT52695 CA Primary

Addresses

Primary practice location

1368 Lincoln Ave Ste 108
San Rafael, CA 94901

Mailing address

18 Wood LN
Fairfax, CA 94930-2016
Phone (415) 488-5591

Other practice location 1

1330 Lincoln Ave
suite 201
San Rafael, CA 94901-2120
Phone (415) 459-5999

Other identifiers 1

IdentifierTypeStateIssuer
1455000OtherCAPARTNERSHIP OF CALIFORNIA

Other names 1

  • Ms. Wendy Labov-Dunne Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT52695CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Institute for Psychotherapy Past Accepting new patients
Community Institute for Psychotherapy Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1740489178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WOOD LN",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949302016",
            "telephone_number": "415-488-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 LINCOLN AVE STE 108",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-488-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Lincoln Ave",
            "address_2": "suite 201",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949012120",
            "country_code": "US",
            "telephone_number": "415-459-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNNE",
        "first_name": "WENDY",
        "middle_name": "LABOV",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT52695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERSHIP OF CALIFORNIA",
            "identifier": "1455000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "LABOV-DUNNE",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.