Individual provider Active NPI

Carol Normandi, MS, LMFT

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1891187316
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
29505 Issued in CA
Practice address
523 4TH St Ste 100
San Rafael, CA 94901-3347
Phone
(415) 488-1104
Fax
(888) 832-5288
NPI assigned
Feb 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 29505 CA Primary

Addresses

Primary practice location

523 4TH St Ste 100
San Rafael, CA 94901-3347

Mailing address

PO Box 819
Woodacre, CA 94973-0819
Phone (415) 488-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
29505CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Normandi Marriage & Family Therapist Current Accepting new patients
Amrita Family Therapy Current Accepting new patients

Locations

30 N San Pedro Rd
Ste 265
San Rafael, CA 94903
Phone (415) 479-7880

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1891187316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "WOODACRE",
            "state": "CA",
            "postal_code": "949730819",
            "telephone_number": "415-488-1104",
            "fax_number": "888-832-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 4TH ST STE 100",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013347",
            "telephone_number": "415-488-1104",
            "fax_number": "888-832-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMANDI",
        "first_name": "CAROL",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "29505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.