Organization Active NPI

Coyne Operated Psychotherapy Inc

  • Adult Mental Health Clinic/Center
  • Corte Madera, CA
National Provider Identifier
1861264574
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
COYNE OPERATED PSYCHOTHERAPY INC
Practice address
200 Tamal PLZ Ste 130
Corte Madera, CA 94925-1195
Phone
(415) 322-3018
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Dr. John Coyne, PSYDNPI 1326187907
Title
President
Phone
(415) 322-3018

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

200 Tamal PLZ Ste 130
Corte Madera, CA 94925-1195

Mailing address

769 Center Blvd, PMB 125
Fairfax, CA 94930-1764
Phone (415) 322-3018

National Provider Directory

National Provider Directory

Locations

769 Center Blvd
Fairfax, CA 94930
Phone (415) 286-5014

Practitioners & affiliated clinicians

Practitioners 1

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": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1861264574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 CENTER BLVD, PMB 125",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301764",
            "telephone_number": "415-322-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TAMAL PLZ STE 130",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251195",
            "telephone_number": "415-322-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COYNE OPERATED PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "COYNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-322-3018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.