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MARIN NEUROPSYCHOLOGY AND PSYCHOLOGICAL CENTER, PC
NPI 1003102393
Clinical Neuropsychologist in San Rafael, CA

Active since June 24, 2011
2154 4TH ST, SAN RAFAEL, CA 94901(415) 457-3451(415) 457-3819 Get Directions Write a Review

NPPES record last updated: June 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marin Neuropsychology And Psychological Center, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIN NEUROPSYCHOLOGY AND PSYCHOLOGICAL CENTER, PC (NPI 1003102393) is a healthcare organization registered as a clinical neuropsychologist in San Rafael, California and active in the NPI registry since June 2011. The organization lists Edgar Angelone, President, as its authorized official.

NPPES Registry Identity

NPI1003102393
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameMARIN NEUROPSYCHOLOGY AND PSYCHOLOGICAL CENTER, PC
Location Address2154 4TH STSan Rafael, CA 94901-2684
Mailing Address2154 4th StSan Rafael, CA 94901-2684 · (415) 457-3451 · Fax (415) 457-3819
Phone(415) 457-3451
Fax(415) 457-3819
Organization SubpartNo
Authorized OfficialEdgar AngelonePresident · (415) 457-3451
Enumeration DateJune 24, 2011
✔ NPI 1003102393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY13957
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
2154 4TH ST, San Rafael, CA 94901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA JOSE PRIETO DE ESTEBECORENA PH,D.
Clinical Neuropsychologist
2154 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 457-3451
DR. EDGAR O. ANGELONE PH.D
Clinical Neuropsychologist
2154 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 457-3451
MARIN NEUROPSYCHOLOGY CENTER - A PSYCHOLOGY CORPORATION
Clinical Neuropsychologist
2154 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 457-3451
MS. SONYA BOLCH ANGELONE MS, RD, CLT
Dietitian, Registered
2154 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 509-3192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marin Neuropsychology And Psychological Center, PC's NPI number?

The NPI number for Marin Neuropsychology And Psychological Center, PC is 1003102393. It was assigned to this organization in the NPPES registry on June 24, 2011.

Where is Marin Neuropsychology And Psychological Center, PC located?

Marin Neuropsychology And Psychological Center, PC is located at 2154 4th St, San Rafael, CA 94901. The listed phone number is (415) 457-3451.

What is Marin Neuropsychology And Psychological Center, PC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Marin Neuropsychology And Psychological Center, PC was last updated on June 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.