JEWISH FAMILY AND CHILDRENS SERVICES NPI 1780791020

NPI Information

  • NPI: 1780791020
  • Provider Name: JEWISH FAMILY AND CHILDRENS SERVICES
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 600 5TH AVE
    SAN RAFAEL, CA
    ZIP 94901
  • Phone: (415) 491-7960

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NPI Details

JEWISH FAMILY AND CHILDRENS SERVICES is a mental health counselor in San Rafael, CA. JEWISH FAMILY AND CHILDRENS SERVICES NPI is 1780791020. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 5TH AVE
SAN RAFAEL, CA
ZIP 94901-348
Phone: (415) 491-7960
Fax: (415) 491-7958

The provider's authorized official is Don Sussman .
The authorized official title is Supervisor and has the following contact phone number (650) 688-3046.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 8/22/2020.

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
1101YM0800XCounselorMental HealthLCS11583CALIFORNIAYes

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: 3/30/2025

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