CHILD THERAPY INSTITUTE OF MARIN
NPI 1154713774
Clinic/Center - Mental Health (Including Community Mental Health Center) in Petaluma, CA

Q: What is Child Therapy Institute Of Marin's NPI number?

The NPI number for Child Therapy Institute Of Marin is 1154713774. It was assigned to this organization in the NPPES registry on February 19, 2015.

Q: What is Child Therapy Institute Of Marin's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since February 19, 2015

720 SOUTHPOINT BLVD, PETALUMA, CA 94954(707) 237-3644 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Child Therapy Institute Of Marin NPPES

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

CHILD THERAPY INSTITUTE OF MARIN (NPI 1154713774) is a healthcare organization registered as a mental health (including community mental health center) in Petaluma, California and active in the NPI registry since February 2015. The organization lists Brian N Lukas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1154713774

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCHILD THERAPY INSTITUTE OF MARIN

Location Address720 SOUTHPOINT BLVDPetaluma, CA 94954-7495

Mailing Address1480 Lincoln Ave Ste 8San Rafael, CA 94901-2085

Phone(707) 237-3644

Organization SubpartNo

Authorized OfficialBrian N LukasExecutive Director · (415) 456-7724

Enumeration DateFebruary 19, 2015

✔ NPI 1154713774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

720 SOUTHPOINT BLVD, Petaluma, CA 94954

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Other Providers at the Same Location NPPES 3

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

MR. TONY L. JOHNSON MFT

Marriage & Family Therapist

720 SOUTHPOINT BLVD, SUITE 202
PETALUMA, CA 94954

Sonoma County (707) 763-4915

MS. PATRICIA T HROMALIK LMFT #89207

Marriage & Family Therapist

720 SOUTHPOINT BLVD, SUITE 212B
PETALUMA, CA 94954

Sonoma County (707) 892-0774

DR. IVERSON M. EICKEN PH.D.

Psychologist

720 SOUTHPOINT BLVD, SUITE 202
PETALUMA, CA 94954

Sonoma County (707) 775-5666

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 Child Therapy Institute Of Marin's NPI number?

The NPI number for Child Therapy Institute Of Marin is 1154713774. It was assigned to this organization in the NPPES registry on February 19, 2015.

Where is Child Therapy Institute Of Marin located?

Child Therapy Institute Of Marin is located at 720 Southpoint Blvd, Petaluma, CA 94954. The listed phone number is (707) 237-3644.

What is Child Therapy Institute Of Marin's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Child Therapy Institute Of Marin was last updated on February 19, 2015. 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.