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LOGAN MOODY
NPI 1154004869
Marriage & Family Therapist in San Rafael, CA

Active since August 09, 2023
361 3RD ST STE B, SAN RAFAEL, CA 94901(415) 572-0813 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Logan Moody NPPES

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

LOGAN MOODY (NPI 1154004869) is an individual marriage & family therapist in San Rafael, California, licensed in California (384134) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1154004869
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLOGAN MOODY
Location Address361 3RD ST STE BSan Rafael, CA 94901-3580
Mailing Address361 3rd St Ste BSan Rafael, CA 94901-3580 · (415) 572-0813
Phone(415) 572-0813
Sole ProprietorYes
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1154004869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 384134
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedDrama TherapistTaxonomy 101200000X · License 31043 (CA)
361 3RD ST STE B, San Rafael, CA 94901
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

JOSEPH DELA VEGA
Rehabilitation Practitioner
361 3RD ST STE B
SAN RAFAEL, CA 94901
Marin County (415) 747-8178
FELTON INSTITUTE
Community/Behavioral Health
361 3RD ST STE B
SAN RAFAEL, CA 94901
Marin County (415) 747-8178

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 Logan Moody's NPI number?

The NPI number for Logan Moody is 1154004869. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Logan Moody located?

Logan Moody practices at 361 3rd St Ste B, San Rafael, CA 94901. The listed phone number is (415) 572-0813.

What is Logan Moody's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Logan Moody was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.