Organization Active NPI

Mary Christy-Cirillo MFT

  • Point of Service
  • Sausalito, CA
National Provider Identifier
1912382714
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
MFT Issued in CA
Legal business name
MARY CHRISTY-CIRILLO MFT
Practice address
1417 Bridgeway Ste 6a
Sausalito, CA 94965-1972
Phone
(415) 613-6590
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Mary Elizabeth Christy-Cirillo, MFT
Title
Psychotherapist
Phone
(415) 613-6590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X MFT CA Primary

Addresses

Primary practice location

1417 Bridgeway Ste 6a
Sausalito, CA 94965-1972

Mailing address

1417 Bridgeway Ste 6a
Sausalito, CA 94965-1972
Phone (415) 613-6590

National Provider Directory

National Provider Directory

Locations

1417 Bridgeway
Ste 6A
Sausalito, CA 94965
Phone (415) 613-6590

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1912382714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 BRIDGEWAY STE 6A",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651972",
            "telephone_number": "415-613-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 BRIDGEWAY STE 6A",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651972",
            "telephone_number": "415-613-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CHRISTY-CIRILLO MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTY-CIRILLO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "415-613-6590",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "MFT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sausalito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.