| County Of Marin | |
|
3270 Kerner Boulevard Building A San Rafael CA 94901-4841 | |
| (415) 473-7818 | |
| (415) 473-4283 |
| Full Name | County Of Marin |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3270 Kerner Boulevard, San Rafael, California |
| Authorized Official Name and Position | Rosanna Lallana (COMPLIANCE PRIVACY SECURITY OFCR) |
| Authorized Official Contact | 4154732531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Marin 20 N San Pedro Rd San Rafael CA 94903-4188 Ph: (415) 473-6948 | County Of Marin 3270 Kerner Boulevard Building A San Rafael CA 94901-4841 Ph: (415) 473-7818 |
| NPI Number | 1891968855 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 12/02/2022 |
| Certification Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891968855 | NPI | - | NPPES |
| 000002177 | Medicaid | CA | |
| 2177 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
Marin Neuropsychology And Psychological Center, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2154 4th St, San Rafael, CA 94901 Phone: 415-457-3451 Fax: 415-457-3819 | |
Family Service Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Northgate Dr, Family Service Agency Of Marin, San Rafael, CA 94903 Phone: 415-491-5700 Fax: 415-491-5755 | |
Dr. Mikol S. Davis, Child & Family Counseling, A Professional Corporat Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 930 Irwin St, Suite 215, San Rafael, CA 94901 Phone: 415-459-1203 Fax: 415-459-3682 | |
Marin Outpatient Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Albion St, San Rafael, CA 94901 Phone: 415-879-1723 | |
Bayside Marin, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 4th St, San Rafael, CA 94901 Phone: 800-757-7131 Fax: 415-454-3535 | |
Kaiser Permanente Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 Phone: 415-444-3522 Fax: 415-491-3028 | |
Bay Area Community Resources, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Shoreline Parkway, San Rafael, CA 94901 Phone: 415-328-6269 |