Organization Active NPI

Katharina Sandizell Marriage Family Therapy PC

  • Marriage & Family Therapist
  • Point Reyes Station, CA
National Provider Identifier
1821797267
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KATHARINA SANDIZELL MARRIAGE FAMILY THERAPY PC
Practice address
51 Viento Way
Point Reyes Station, CA 94956
Phone
(415) 728-7000
NPI assigned
Feb 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Ms. Katharina Ilka Sandizell, MANPI 1245502871
Title
LMFT
Phone
(415) 728-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

51 Viento Way
Point Reyes Station, CA 94956

Mailing address

PO Box 292
Point Reyes Station, CA 94956-0292
Phone (415) 728-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250131003141 CA Part B Supplier - Clinic/Group Practice 6002345238 Receives reassigned benefits from 1 practitioner
Practice locations: Point Reyes Station, CA

National Provider Directory

National Provider Directory

Locations

1760 Solano Ave
Ste 301
Berkeley, CA 94707
Phone (510) 501-4767

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1821797267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "949560292",
            "telephone_number": "415-728-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 VIENTO WAY",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "94956",
            "telephone_number": "415-728-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHARINA SANDIZELL MARRIAGE FAMILY THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "SANDIZELL",
        "authorized_official_first_name": "KATHARINA",
        "authorized_official_middle_name": "ILKA",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "415-728-7000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Reyes Station, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.