Active NPI
Naomi Butler, M.F.T.
- Marriage & Family Therapist
- Corte Madera, CA
National Provider Identifier
1780813550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT13795
- Practice address
- 240 Tamal Vista Blvd
Suite 270
Corte Madera, CA 94925-1132 - Phone
- (415) 883-4041
- NPI assigned
- Jul 14, 2009
- Last updated
- Jul 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT13795 | CA | Primary |
Addresses
Primary practice location
240 Tamal Vista Blvd
Suite 270
Corte Madera, CA 94925-1132
Mailing address
522 Entrada Drive
#104
Novato, CA 94949-7234
Phone (415) 883-4041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 22, 2024 through Dec 22, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT13795 | CA | MD | Marriage & Family Therapist |
| 13795 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247529600000",
"number": "1780813550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 ENTRADA DRIVE",
"address_2": "#104",
"city": "NOVATO",
"state": "CA",
"postal_code": "949497234",
"telephone_number": "415-883-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 TAMAL VISTA BLVD",
"address_2": "SUITE 270",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251132",
"telephone_number": "415-883-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "NAOMI",
"name_prefix": "Ms.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2009-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT13795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.