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AN INDIVIDUAL MARRIAGE AND RELATIONSHIP THERAPY CORPORATION
NPI 1225765787
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Mateo, CA

Active since August 04, 2022
1015 SHORELINE DR, SAN MATEO, CA 94404(650) 762-5284 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About An Individual Marriage And Relationship Therapy Corporation NPPES

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

AN INDIVIDUAL MARRIAGE AND RELATIONSHIP THERAPY CORPORATION (NPI 1225765787) is a healthcare organization registered as a mental health (including community mental health center) in San Mateo, California and active in the NPI registry since August 2022. The organization lists Jeanne Peri Sutton, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1225765787
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameAN INDIVIDUAL MARRIAGE AND RELATIONSHIP THERAPY CORPORATION
Location Address1015 SHORELINE DRSan Mateo, CA 94404-2047
Mailing Address1015 Shoreline DrSan Mateo, CA 94404-2047 · (410) 459-5024
Phone(650) 762-5284
Organization SubpartNo
Authorized OfficialJeanne Peri SuttonCeo/owner · (650) 762-5284
Enumeration DateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
✔ NPI 1225765787 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
1015 SHORELINE DR, San Mateo, CA 94404
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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 An Individual Marriage And Relationship Therapy Corporation's NPI number?

The NPI number for An Individual Marriage And Relationship Therapy Corporation is 1225765787. It was assigned to this organization in the NPPES registry on August 4, 2022.

Where is An Individual Marriage And Relationship Therapy Corporation located?

An Individual Marriage And Relationship Therapy Corporation is located at 1015 Shoreline Dr, San Mateo, CA 94404. The listed phone number is (650) 762-5284.

What is An Individual Marriage And Relationship Therapy Corporation'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 An Individual Marriage And Relationship Therapy Corporation was last updated on August 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.