Organization Active NPI

Marin Services for Women

  • Substance Abuse Rehabilitation Facility
  • Greenbrae, CA
National Provider Identifier
1811283120
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
210004CN Issued in CA
Legal business name
MARIN SERVICES FOR WOMEN
Practice address
1251 S Eliseo Dr
Greenbrae, CA 94904-2005
Phone
(415) 924-5995
NPI assigned
Jun 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Cindy Myers
Title
Ceo
Phone
(415) 924-5995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 210004AN CA
Substance Abuse Rehabilitation Facility 324500000X 210004CN CA Primary

Addresses

Primary practice location

1251 S Eliseo Dr
Greenbrae, CA 94904-2005

Mailing address

1251 S Eliseo Dr
Greenbrae, CA 94904-2005

National Provider Directory

National Provider Directory
Tax ID family
Marin Services for Women2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1251 S Eliseo Dr
Greenbrae, CA 94904
Phone (415) 699-0439

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1811283120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S ELISEO DR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S ELISEO DR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042005",
            "telephone_number": "415-924-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN SERVICES FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-924-5995"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "210004AN",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "210004CN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.