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CHILD THERAPY INSTITUTE OF MARIN NPI 1760891931


NPI Information

NPI: 1760891931
Provider Name: CHILD THERAPY INSTITUTE OF MARIN

Doing Business As: WASHINGTON ELEMENTARY SCHOOL

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2300 MARTIN LUTHER KING JR WAY
BERKELEY, CA
ZIP 94704
Phone: (510) 644-6310
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CHILD THERAPY INSTITUTE OF MARIN is a mental health (including community mental health center) clinic center in Berkeley, CA. CHILD THERAPY INSTITUTE OF MARIN NPI is 1760891931. The provider is registered as an organization entity type.
The provider Is Doing Business As Washington Elementary School.

The provider's business location address is:

2300 MARTIN LUTHER KING JR WAY
BERKELEY, CA
ZIP 94704-412
Phone: (510) 644-6310

The provider's authorized official is Brian Lukas .
The authorized official title is Executive Director and has the following contact phone number (415) 456-7724.

The enumeration date for this NPI number is 8/12/2014 and was last updated on 5/25/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.