CHARLES W BOOMER - NPI 1659695153 - Counselor in Novato, CA

The NPI number for Charles Boomer is 1659695153. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Charles Boomer was last updated on August 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Charles W Boomer NPPES

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

CHARLES W BOOMER (NPI 1659695153) is an individual mental health provider in Novato, California and active in the NPI registry since March 2010.

NPI1659695153

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameCHARLES W BOOMER

Location Address201 ALAMEDA DEL PRADONovato, CA 94949-6688

Mailing Address201 Alameda Del Prado Ste 103Novato, CA 94949-6698 · (415) 457-6964

Fax(415) 491-0915

Sole ProprietorNo

Enumeration DateMarch 26, 2010

Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1659695153 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

201 ALAMEDA DEL PRADO, Novato, CA 94949

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

Case Management

201 ALAMEDA DEL PRADO, SUITE 201
NOVATO, CA 94949

Marin County (415) 457-1925

Counselor (Mental Health)