Organization Active NPI

Marin Psychiatric Group, Inc.

  • Psychiatry Physician
  • Greenbrae, CA
National Provider Identifier
1922464445
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MARIN PSYCHIATRIC GROUP, INC.
Practice address
250 Bon Air Rd
Marin General Hospital, Unit a, Behavioral Health
Greenbrae, CA 94904-1702
Phone
(415) 925-8808
NPI assigned
Jan 13, 2016
Last updated
Mar 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Dr. Stephen C. Allison, M.D.NPI 1023336294
Title
Cfo
Phone
(415) 952-3101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

250 Bon Air Rd
Marin General Hospital, Unit a, Behavioral Health
Greenbrae, CA 94904-1702

Mailing address

706 San Anselmo Ave # 137
San Anselmo, CA 94960-2618

National Provider Directory

National Provider Directory

Locations

250 Bon Air Rd
Unit A
Greenbrae, CA 94904
Phone (415) 925-8808

524 San Anselmo Ave
San Anselmo, CA 94960

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": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1922464445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 SAN ANSELMO AVE # 137",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "address_2": "MARIN GENERAL HOSPITAL, UNIT A, BEHAVIORAL HEALTH",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-925-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN PSYCHIATRIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-952-3101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.