NPIMap

Organization Active NPI

County of Marin Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Rafael, CA
National Provider Identifier
1891820577
Registry record updated May 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COUNTY OF MARIN COMMUNITY MENTAL HEALTH SERVICES
Practice address
20 N San Pedro Rd Ste 2021
San Rafael, CA 94903-4158
Phone
(415) 499-6769
Fax
(415) 499-4283
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2023

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

Authorized official

Name
Rosanna Lallana
Title
Compliance/Privacy Officer
Phone
(415) 473-2531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

20 N San Pedro Rd Ste 2021
San Rafael, CA 94903-4158

Mailing address

20 N San Pedro Rd Ste 2021
San Rafael, CA 94903-4158
Phone (415) 499-6769

Other identifiers 1

IdentifierTypeStateIssuer
000002177MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Marin County Health and22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

20 N San Pedro Rd
Ste 2021
San Rafael, CA 94903
Phone (415) 473-6769

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685145600000",
    "number": "1891820577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N SAN PEDRO RD STE 2021",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034158",
            "telephone_number": "415-499-6769",
            "fax_number": "415-499-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N SAN PEDRO RD STE 2021",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034158",
            "telephone_number": "415-499-6769",
            "fax_number": "415-499-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MARIN COMMUNITY MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-05-27",
        "certification_date": "2023-05-27",
        "status": "A",
        "authorized_official_last_name": "LALLANA",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_title_or_position": "COMPLIANCE/PRIVACY OFFICER",
        "authorized_official_telephone_number": "415-473-2531"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000002177",
            "state": "CA"
        }
    ],
    "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 May 27, 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.