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CHILD THERAPY INSTITUTE OF MARIN
NPI 1619014081
Community/Behavioral Health in San Rafael, CA

Active since February 01, 2007
1480 LINCOLN AVE STE 8, SAN RAFAEL, CA 94901(415) 456-7724(415) 456-1050 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2026, May 20, 2025 (2 updates tracked since 2025).

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 1619014081) is a healthcare organization registered as a community/behavioral health in San Rafael, California and active in the NPI registry since February 2007. The organization lists Brian Lukas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619014081
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCHILD THERAPY INSTITUTE OF MARIN
Location Address1480 LINCOLN AVE STE 8San Rafael, CA 94901-2085
Mailing Address1480 Lincoln Ave Ste 8San Rafael, CA 94901-2085 · (415) 456-7724 · Fax (415) 456-1050
Phone(415) 456-7724
Fax(415) 456-1050
Organization SubpartNo
Authorized OfficialBrian LukasExecutive Director · (415) 456-7724
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1619014081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
1480 LINCOLN AVE STE 8, San Rafael, CA 94901
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Other Providers at the Same Location NPPES 11

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

BRYCE C PARMELLY
Marriage & Family Therapist
1480 LINCOLN AVE STE 8
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
JOHANNA A SLOB
Marriage & Family Therapist
1480 LINCOLN AVE STE 8
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
MS. CAROLINE BOUSSENOT
Student in an Organized Health Care Education/Training Program
1480 LINCOLN AVE STE 8
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
ANGELIQUE BERENS
Marriage & Family Therapist
1480 LINCOLN AVE STE 8
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
APRIL NETZER
Marriage & Family Therapist
1480 LINCOLN AVE STE 8
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
CAMILA FLORENCIA PEREZ
Student in an Organized Health Care Education/Training Program
1480 LINCOLN AVE STE 8
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
HEIDI BETCHER LMT
Student in an Organized Health Care Education/Training Program
1480 LINCOLN AVE STE 8
SAN RAFAEL, CA 94901
Marin County (415) 456-1050
MEGAN CARNEY
Marriage & Family Therapist
1480 LINCOLN AVE STE 8
SAN RAFAEL, CA 94901
Marin County (916) 801-8112

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 1619014081. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Child Therapy Institute Of Marin located?

Child Therapy Institute Of Marin is located at 1480 Lincoln Ave Ste 8, San Rafael, CA 94901. The listed phone number is (415) 456-7724.

What is Child Therapy Institute Of Marin'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 Child Therapy Institute Of Marin was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.