Individual provider Active NPI

Teresa McGlashan, MFT

  • Marriage & Family Therapist
  • Mill Valley, CA
National Provider Identifier
1780876292
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 47794 Issued in CA
Practice address
45 Camino Alto Ste 200
Mill Valley, CA 94941-2935
Phone
(415) 307-6770
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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 MFC 47794 CA Primary

Addresses

Primary practice location

45 Camino Alto Ste 200
Mill Valley, CA 94941-2935

Mailing address

45 Camino Alto Ste 200
Mill Valley, CA 94941-2935
Phone (415) 307-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 3, 2024 through Nov 3, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 47794CAMDMarriage & Family Therapist
47794CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1780876292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CAMINO ALTO STE 200",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412935",
            "telephone_number": "415-307-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CAMINO ALTO STE 200",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412935",
            "telephone_number": "415-307-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLASHAN",
        "first_name": "TERESA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 47794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.