AMY NICOLE URBAN
NPI 1144508094
Marriage & Family Therapist in San Rafael, CA

NPI Status: Active since July 26, 2011

Contact Information

111 SMITH RANCH RD
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 491-3000

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  • Individual
  • Female
  • Marriage & Family Therapist
  • Opted-Out Medicare

About AMY URBAN

This page provides the complete NPI Profile along with additional information for Amy Urban, a provider established in San Rafael, California with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1144508094 assigned on July 2011. The practitioner's primary taxonomy code is 106H00000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1144508094
Provider Name
AMY NICOLE URBAN
Gender
Female
Entity Type
Individual
Location Address
111 SMITH RANCH RD SAN RAFAEL, CA 94903
Location Phone
(415) 491-3000
Mailing Address
111 SMITH RANCH RD SAN RAFAEL, CA 94903
Is Sole Proprietor?
Yes
Enumeration Date
07-26-2011
Last Update Date
07-25-2019
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A marriage and family therapist like Amy Urban help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Amy Urban opted out of Medicare effective on 04-19-2024 until 04-19-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 751 Lombardi Ct Suite C
    Santa Rosa, CA 95407
    (707) 545-4551

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

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-19-2024

  • Opt-Out End Date: 04-19-2026

  • Eligible to Order and Refer? No

Reviews for AMY NICOLE URBAN

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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.
1144508094
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218410016018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 0 + 0 + 1 + 6 + 0 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1144508094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770940694 SILVA HASSERT
Individual
Psychologist111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000
1821353541 SARA BROOKER
Individual
Psychologist111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000
1932653235DR. JAMES PAUL ROEHRIG PH.D.
Individual
Psychologist (Counseling)111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3013
1649693672 LAUREN FOLEY WENDEROTH RD
Individual
Dietitian, Registered111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000
1225397979DR. MONA COLLADO FERRER-KAW M.D.
Individual
Psychiatry & Neurology (Addiction Medicine)111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3205
1396774436 PEGGY KWUN MD
Individual
Psychiatry & Neurology (Psychiatry)111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000
1992949457DR. DANIEL NOTZON M.D.
Individual
Psychiatry & Neurology (Addiction Psychiatry)111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(646) 783-2594
1043777618 STEPHANIE LOPEZ
Individual
Psychologist111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3127
1164021341DR. KIM HUONG HUYNH PH.D.
Individual
Psychologist (Clinical)111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3011
1164044483 CORINNE HEIMER
Individual
Psychologist111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000
1174979660 SHIRI LICHTENSTEIN PSYD
Individual
Psychologist111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000
1295398519 MAXWELL BERLYANT PHD
Individual
Psychologist111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000
1427425065DR. JONATHAN WALDRON PHD
Individual
Psychologist111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000
1669874657 AMY LEE PSY.D.
Individual
Psychologist (Clinical)111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(310) 343-3838
1770021503 JENNICA MURRAY-ELIZONDO MFT
Individual
Marriage & Family Therapist111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3151
1962063537DR. LAURA MEREDITH COHEN PH.D.
Individual
Psychologist (Counseling)111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000
1962152207 AMELIA DUPLANTIER RD
Individual
Dietitian, Registered111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000
1316494107 JENNIFER T. T. HO
Individual
Psychologist (Clinical)111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000
1457823155 SHEDRICK MARTIN PHARMD, BCPP
Individual
Pharmacist111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000
1487171518MS. RENITA V. NEBRES
Individual
Marriage & Family Therapist111 SMITH RANCH RD
SAN RAFAEL, CA 94903
(415) 491-3000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144508094, enumerated in the NPI registry as an "individual" on July 26, 2011

The provider is located at 111 Smith Ranch Rd San Rafael, Ca 94903 and the phone number is (415) 491-3000

The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X

No, the provider signed an affidavit on April 19, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 19, 2026.

This NPI record was last updated on July 26, 2011. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.