COUNTY OF MARIN
NPI 1366507295
Clinic/Center - Adolescent and Children Mental Health in San Rafael, CA

NPI Status: Active since December 22, 2006

Contact Information

3230 KERNER BOULEVARD
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 473-2843
Fax: (415) 473-3080

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About COUNTY OF MARIN

This page provides the complete NPI Profile along with additional information for County Of Marin, a provider established in San Rafael, California operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1366507295 assigned on December 2006. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Rosanna Lallana (Compliance Privacy Security Ofcr)

NPI
1366507295
Provider Name
COUNTY OF MARIN
Entity Type
Organization
Location Address
3230 KERNER BOULEVARD SAN RAFAEL, CA 94901
Location Phone
(415) 473-2843
Location Fax
(415) 473-3080
Mailing Address
20 N SAN PEDRO RD SAN RAFAEL, CA 94903
Mailing Phone
(415) 473-6948
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-22-2006
Last Update Date
12-02-2022
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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

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
License State
CA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ROSANNA LALLANA

Authorized Official Title
COMPLIANCE PRIVACY SECURITY OFCR
Authorized Official Phone
(415) 473-2531

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2177MEDICAID (05)CA 

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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.
1366507295
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2312610014218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 0 + 0 + 1 + 4 + 2 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1366507295 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366507295, enumerated in the NPI registry as an "organization" on December 22, 2006

The provider is located at 3230 Kerner Boulevard San Rafael, Ca 94901 and the phone number is (415) 473-2843

This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 22, 2006. 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.