NPIMap

Organization Active NPI

North Marin Community Services

  • Community/Behavioral Health Agency
  • Novato, CA
National Provider Identifier
1861556573
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTH MARIN COMMUNITY SERVICES
Practice address
680 Wilson Ave
Novato, CA 94947-3825
Phone
(415) 892-1643
Fax
(415) 892-5098
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Alaina Cantor, LCSW
Title
Director of Wellness Programs
Phone
(415) 897-4147

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

680 Wilson Ave
Novato, CA 94947-3825

Mailing address

680 Wilson Ave
Novato, CA 94947-3825
Phone (415) 892-1643

Other practice location 1

1907 Novato Blvd
Novato, CA 94947-2912
Phone (415) 897-4147

Other practice location 2

6100 Redwood Blvd
Novato, CA 94945-4501
Phone (415) 985-5012

National Provider Directory

National Provider Directory

Locations

680 Wilson Ave
Novato, CA 94947
Phone (415) 892-1643

1907 Novato Blvd
Novato, CA 94947
Phone (415) 491-5700

Practitioners & affiliated clinicians

Practitioners 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1861556573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 WILSON AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473825",
            "telephone_number": "415-892-1643",
            "fax_number": "415-892-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 WILSON AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473825",
            "telephone_number": "415-892-1643",
            "fax_number": "415-892-5098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 Novato Blvd",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949472912",
            "country_code": "US",
            "telephone_number": "415-897-4147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 Redwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949454501",
            "country_code": "US",
            "telephone_number": "415-985-5012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH MARIN COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "CANTOR",
        "authorized_official_first_name": "ALAINA",
        "authorized_official_title_or_position": "DIRECTOR OF WELLNESS PROGRAMS",
        "authorized_official_telephone_number": "415-897-4147",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.