MARIN COUNTY JUVENILE PROBATION NPI 1306017512

NPI Information

  • NPI: 1306017512
  • Provider Name: MARIN COUNTY JUVENILE PROBATION
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 4 JEANNETTE PRANDI WAY
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (415) 499-6659

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NPI Details

MARIN COUNTY JUVENILE PROBATION is a community behavioral health in San Rafael, CA. The provider is 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. MARIN COUNTY JUVENILE PROBATION NPI is 1306017512. The provider is registered as an organization entity type.

The provider's business location address is:

4 JEANNETTE PRANDI WAY
SAN RAFAEL, CA
ZIP 94903-133
Phone: (415) 499-6659

The provider's authorized official is Mariano Zamudio .
The authorized official title is Chief Of Admin. Services and has the following contact phone number (415) 499-6593.

The enumeration date for this NPI number is 3/14/2008 and was last updated on 3/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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