CHILD THERAPY INSTITUTE OF MARIN
NPI 1790216489
Community/Behavioral Health in Corte Madera, CA

NPI Status: Active since March 23, 2017

Contact Information

240 TAMAL VISTA BLVD
#155
CORTE MADERA, CA
ZIP 94925
Phone: (415) 456-7724
Fax: (415) 456-1050

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  • Organization
  • Community/Behavioral Health

About CHILD THERAPY INSTITUTE OF MARIN

This page provides the complete NPI Profile along with additional information for Child Therapy Institute Of Marin, a provider established in Corte Madera, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1790216489 assigned on March 2017. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Brian Lukas Phd (Executive Director)

NPI
1790216489
Provider Name
CHILD THERAPY INSTITUTE OF MARIN
Entity Type
Organization
Location Address
240 TAMAL VISTA BLVD #155 CORTE MADERA, CA 94925
Location Phone
(415) 456-7724
Location Fax
(415) 456-1050
Mailing Address
1480 LINCOLN AVE #8 SAN RAFAEL, CA 94901
Mailing Phone
(415) 456-7724
Mailing Fax
(415) 456-1050
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2017
Last Update Date
03-23-2017
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

BRIAN LUKAS PHD

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(415) 456-7724

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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.
1790216489
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271804112416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 4 + 1 + 1 + 2 + 4 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1790216489 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396753232DR. CHARLES S FLECKLES MD
Individual
Psychiatry & Neurology (Psychiatry)240 TAMAL VISTA BLVD SUITE 162
CORTE MADERA, CA 94925
(415) 927-1444
1669582227DR. SHEVA L FELD PHD
Individual
Psychologist (Clinical)240 TAMAL VISTA BLVD STE 290
CORTE MADERA, CA 94925
(415) 924-8496
1669502183DR. ERNEST TROY BRYANT PHD
Individual
Clinical Neuropsychologist240 TAMAL VISTA BLVD
CORTE MADERA, CA 94925
(415) 927-7748
1164545141MRS. ESTHER G STONE M.S,S,W,
Individual
Social Worker (Clinical)240 TAMAL VISTA BLVD #290
CORTE MADERA, CA 94925
(415) 272-3369
1194998047MS. JACQUELINE MAY LADRECH MS, MFT
Individual
Counselor (Mental Health)240 TAMAL VISTA BLVD SUITE 270
CORTE MADERA, CA 94925
(415) 479-9008
1124276050 LYNN MCLEOD LYNN MCLEOD, MFT
Individual
Marriage & Family Therapist240 TAMAL VISTA BLVD SUITE 162
CORTE MADERA, CA 94925
(415) 388-2544
1780813550MS. NAOMI BUTLER M.F.T.
Individual
Marriage & Family Therapist240 TAMAL VISTA BLVD SUITE 270
CORTE MADERA, CA 94925
(415) 883-4041
1326279183CATHERINE E. MAIN, INC.
Organization
Psychologist240 TAMAL VISTA BLVD SUITE 270
CORTE MADERA, CA 94925
(415) 457-0424
1962633701DR. CATHERINE ELIZABETH MAIN PH. D.
Individual
Psychologist240 TAMAL VISTA BLVD SUITE 270
CORTE MADERA, CA 94925
(415) 457-0424
1346773504 JACK VANBEZOOYEN
Individual
Psychiatry & Neurology (Psychiatry)240 TAMAL VISTA BLVD
CORTE MADERA, CA 94925
(916) 969-7074
1801098967MR. MARTIN FITZGERALD EPSON M.D., J.D., M.T.S.
Individual
Psychiatry & Neurology (Psychiatry)240 TAMAL VISTA BLVD #160
CORTE MADERA, CA 94925
(415) 473-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790216489, enumerated in the NPI registry as an "organization" on March 23, 2017

The provider is located at 240 Tamal Vista Blvd #155 Corte Madera, Ca 94925 and the phone number is (415) 456-7724

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on March 23, 2017. 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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