Individual provider Active NPI

Marc A Rappaport, LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1801956784
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC44839 Issued in CA
Practice address
101 Gough St
San Francisco, CA 94102-5903
Phone
(415) 503-3137
Fax
(415) 864-2086
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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 MFC44839 CA Primary

Addresses

Primary practice location

101 Gough St
San Francisco, CA 94102-5903

Mailing address

584 Castro St # 308
San Francisco, CA 94114-2512
Phone (415) 820-9640

Other practice location 1

584 Castro St # 308
San Francisco, CA 94114-2512
Phone (415) 860-9763

Other identifiers 1

IdentifierTypeStateIssuer
12187454OtherCACAQH

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
MFC44839CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Health Care District CurrentSince May 7, 2024 Accepting new patients

Locations

2600 S El Camino Real
Ste 300
San Mateo, CA 94403
Phone (650) 226-7030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1801956784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 CASTRO ST # 308",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142512",
            "telephone_number": "415-820-9640",
            "fax_number": "415-865-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GOUGH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025903",
            "telephone_number": "415-503-3137",
            "fax_number": "415-864-2086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 Castro St # 308",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941142512",
            "country_code": "US",
            "telephone_number": "415-860-9763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPPAPORT",
        "first_name": "MARC",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC44839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12187454",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.