THE SPAHR CENTER NPI 1225334154

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Corte Madera, CA

NPI 1225334154 Organization Clinic/Center Mental Health (Including Community Menta... CLIA Number 05D2006977 CLIA Certificate of Waiver

About THE SPAHR CENTER

The Spahr Center is a provider established in Corte Madera, California specializing in clinic/center (mental health (including community mental health center)) . The NPI number of The Spahr Center is 1225334154 and was assigned on February 2011. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ms. Jennifer Malone (Executive Director)

The CLIA number of The Spahr Center is 05D2006977 registered as a "mobile lab" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to The Spahr Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1225334154

Provider NameTHE SPAHR CENTER
Provider Location Address150 NELLEN AVE STE 100 CORTE MADERA, CA 94925
Provider Mailing Address150 NELLEN AVE STE 100 CORTE MADERA, CA 94925
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-10-2011
Last Update Date01-23-2019


Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)

Business Address

THE SPAHR CENTER
150 NELLEN AVE STE 100
CORTE MADERA, CA
ZIP 94925
Phone: (415) 457-2487
Fax: (415) 457-5687

Get Directions


Mailing Address

THE SPAHR CENTER
150 NELLEN AVE STE 100
CORTE MADERA, CA
ZIP 94925
Phone: (415) 457-2487
Fax: (415) 457-5687



Authorized Official

Authorized Official NameMS. JENNIFER MALONE
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(415) 457-2487

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1225334154 is:

CLIA Number05D2006977
Facility TypeMOBILE LAB
Certificate TypeCertificate of Waiver

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629483045 JENNIFER MALONE MFT
Individual
Marriage & Family Therapist150 NELLEN AVE STE 100
CORTE MADERA, CA 94925
(415) 457-2487

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.