MARIN SERVICES FOR WOMEN
NPI 1124176581
Substance Abuse Rehabilitation Facility in Greenbrae, CA

NPI Status: Active since January 08, 2007

Contact Information

1251 S ELISEO DR
GREENBRAE, CA
ZIP 94904
Phone: (415) 924-5995
Fax: (415) 924-6837

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  • Organization
  • Substance Abuse Rehabilitation Facility

About MARIN SERVICES FOR WOMEN

This page provides the complete NPI Profile along with additional information for Marin Services For Women, a provider established in Greenbrae, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1124176581 assigned on January 2007. The practitioner's primary taxonomy code is 324500000X with license number 210004CN (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is April J Antoniou (Credentialing Services Manager)

NPI
1124176581
Provider Name
MARIN SERVICES FOR WOMEN
Entity Type
Organization
Location Address
1251 S ELISEO DR GREENBRAE, CA 94904
Location Phone
(415) 924-5995
Location Fax
(415) 924-6837
Mailing Address
3717 E THOUSAND OAKS BLVD SUITE 264 WESTLAKE VILLAGE, CA 91362
Mailing Phone
(805) 413-1318
Mailing Fax
(415) 924-6837
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
210004CN
License State
CA
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

APRIL J ANTONIOU

Authorized Official Title
CREDENTIALING SERVICES MANAGER
Authorized Official Phone
(805) 413-1318

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124176581
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21442712516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 2 + 7 + 1 + 2 + 5 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1124176581 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770791618 VICKI MARTI
Individual
Counselor (Addiction (Substance Use Disorder))1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1720298607MS. ASTRID H JOHNSON
Individual
Counselor (Addiction (Substance Use Disorder))1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1831309764MS. CARLA DIANE CLEMENTS MFTI
Individual
Counselor (Addiction (Substance Use Disorder))1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1083800122 JAN GIBBS
Individual
Counselor1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1255510327MS. BRENDA L. UNDERHILL M.S.
Individual
Counselor (Addiction (Substance Use Disorder))1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1558594358 NICOLE LEE GAYLES
Individual
Counselor1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1487976874 LESLIE E ARNO PSYD
Individual
Psychologist1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1588987879MS. GEORGIA FLORIN GASNER MFTI, LMHC
Individual
Marriage & Family Therapist1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1184941296 TRACY ELIZABETH THOMAS MA
Individual
Psychologist (Counseling)1251 S ELISEO DR
GREENBRAE, CA 94904
(707) 540-1592
1982921144 ELIZABETH MELCHOR
Individual
Counselor (Addiction (Substance Use Disorder))1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 925-5995
1134448053MISS RAMONA CHANAE BRUSTER
Individual
Counselor (Addiction (Substance Use Disorder))1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1376836502 HEATHER DAWN
Individual
Student in an Organized Health Care Education/Training Program1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1164717237 KIEAWNIE DORINE SHEDRICK
Individual
Counselor (Addiction (Substance Use Disorder))1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1811283120MARIN SERVICES FOR WOMEN
Organization
Substance Abuse Rehabilitation Facility1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1972890549 MEGAN AMANDA MILLER LMHC
Individual
Counselor (Mental Health)1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1720371834 KIMBERLY LOTTES MFT
Individual
Marriage & Family Therapist1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1144547993MS. MEREDITH KORNFELD
Individual
Marriage & Family Therapist1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1891017299 BRIGITTE DUNN MFT
Individual
Counselor (Mental Health)1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 924-5995
1679835912 DAVID MICHAEL FIELD
Individual
Marriage & Family Therapist1251 S ELISEO DR
GREENBRAE, CA 94904
(415) 699-0439

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124176581, enumerated in the NPI registry as an "organization" on January 08, 2007

The provider is located at 1251 S Eliseo Dr Greenbrae, Ca 94904 and the phone number is (415) 924-5995

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

This NPI record was last updated on January 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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