NPIMap

Organization Active NPI

Mark J. Schiller, M.D., Professional Corporation

Doing business as Mind Therapy Clinic

  • Psychiatry Physician
  • Corte Madera, CA
National Provider Identifier
1952703456
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G76519 Issued in CA
Legal business name
MARK J. SCHILLER, M.D., PROFESSIONAL CORPORATION
Doing business as
Mind Therapy Clinic
Practice address
150 Nellen Ave
Ste. 100
Corte Madera, CA 94925-1104
Phone
(415) 945-9870
Fax
(415) 945-9325
NPI assigned
Sep 16, 2014
Last updated
Sep 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. Mark J. Schiller, M.D.NPI 1245445170
Title
Medical Director
Phone
(415) 945-9870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X G76519 CA Primary

Addresses

Primary practice location

150 Nellen Ave
Ste. 100
Corte Madera, CA 94925-1104

Mailing address

150 Nellen Ave
Ste. 100
Corte Madera, CA 94925-1104
Phone (415) 945-9870

Other names 1

  • Mind Therapy Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

150 Nellen Ave
Ste 100
Corte Madera, CA 94925
Phone (415) 238-6470

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": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1952703456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NELLEN AVE",
            "address_2": "STE. 100",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251104",
            "telephone_number": "415-945-9870",
            "fax_number": "415-945-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NELLEN AVE",
            "address_2": "STE. 100",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251104",
            "telephone_number": "415-945-9870",
            "fax_number": "415-945-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J. SCHILLER, M.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "SCHILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-945-9870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G76519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.