Active NPI
Isaac Teckie
- Day Training/Habilitation Specialist
- Novato, CA
National Provider Identifier
1982123535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 201 Alameda del Prado
Novato, CA 94949-6688 - Phone
- (425) 457-6964
- NPI assigned
- Sep 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Day Training/Habilitation Specialist | 373H00000X | CA | Primary |
Addresses
Primary practice location
201 Alameda del Prado
Novato, CA 94949-6688
Mailing address
201 Alameda del Prado
Novato, CA 94949-6688
Other practice location 1
201 Alameda Del Prado
Novato, CA 94949-6688
Phone (415) 256-9995
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buckelew Programs | Past | Accepting new patients | |
| Buckelew Programs | Past | Accepting new patients | |
| Buckelew Programs | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Santa Rosa, CA
- NPI 1497587240
-
- Mental Illness Community Based Residential Treatment Facility
- Kentfield, CA
- NPI 1861823262
-
- Mental Illness Community Based Residential Treatment Facility
- San Rafael, CA
- NPI 1922334622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1982123535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 ALAMEDA DEL PRADO",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ALAMEDA DEL PRADO",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496688",
"telephone_number": "425-457-6964"
}
],
"practiceLocations": [
{
"address_1": "201 Alameda Del Prado",
"address_purpose": "LOCATION",
"city": "Novato",
"state": "CA",
"postal_code": "949496688",
"country_code": "US",
"telephone_number": "415-256-9995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TECKIE",
"first_name": "ISAAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-14",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.