Clary Sage Marriage and Family Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CLARY SAGE MARRIAGE AND FAMILY THERAPY

Practice address

205 Reynolds Drive
Boulder Creek, CA 95006

Phone

(650) 425-3078

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly Marie McGarvey, MFC, LPCCNPI 1346469988

Title

Owner

Phone

(650) 425-3078

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly M McGarvey, MFC

  • Marriage & Family Therapist
  • San Mateo, CA
  • NPI 1346469988
  NPD Authorized official

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1841927589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 VAN NESS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093621",
            "telephone_number": "650-425-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 REYNOLDS DRIVE",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "95006",
            "telephone_number": "650-425-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARY SAGE MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "MCGARVEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-425-3078",
        "authorized_official_credential": "MFC, LPCC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT",
            "identifier": "48470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boulder Creek Pharmacy
• Brian James Britton, PHARMACIST
• Julie Anya Broder, LAC
• Patricia Brown, CCC-SLP
• Donna Lynn Childs, O.T.R
• Dignity Health Medical Foundation
• Patricia Collins Dodge, PPS
• Joan Donato, LCSW
• Evare Psychology, a Professional Corporation
• Benjamin Evare, PHD

• Marriage & Family Therapist in Boulder Creek, CA
• Providers in Boulder Creek, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.