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BENJAMINRUSSACK
NPI 1083014773
Community/Behavioral Health in Mill Valley, CA

Active since August 29, 2014
20 SHELLEY DR APT 6, MILL VALLEY, CA 94941(415) 497-1908 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjaminrussack NPPES

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

BENJAMINRUSSACK (NPI 1083014773) is a healthcare organization registered as a community/behavioral health in Mill Valley, California and active in the NPI registry since August 2014. The organization lists Benjamin D Russack, Mft, as its authorized official.

NPPES Registry Identity

NPI1083014773
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBENJAMINRUSSACK
Location Address20 SHELLEY DR APT 6Mill Valley, CA 94941-1562
Mailing Address20 Shelley Dr Apt 6Mill Valley, CA 94941-1562 · (415) 497-1908
Phone(415) 497-1908
Organization SubpartNo
Authorized OfficialBenjamin D RussackMft · (415) 497-1908
Enumeration DateAugust 29, 2014
✔ NPI 1083014773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · 78602
Definition
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.
20 SHELLEY DR APT 6, Mill Valley, CA 94941
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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 Benjaminrussack's NPI number?

The NPI number for Benjaminrussack is 1083014773. It was assigned to this organization in the NPPES registry on August 29, 2014.

Where is Benjaminrussack located?

Benjaminrussack is located at 20 Shelley Dr Apt 6, Mill Valley, CA 94941. The listed phone number is (415) 497-1908.

What is Benjaminrussack's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Benjaminrussack was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.