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MARY SERPHOS
NPI 1679975478
Counselor - Mental Health in San Rafael, CA

Active since September 23, 2014
1480 LINCOLN AVE, SAN RAFAEL, CA 94901(415) 456-1050 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Serphos NPPES

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

MARY SERPHOS (NPI 1679975478) is an individual mental health provider in San Rafael, California, licensed in California (LCS 23301) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1679975478
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY SERPHOS
Location Address1480 LINCOLN AVESan Rafael, CA 94901-2084
Mailing Address1480 Lincoln AveSan Rafael, CA 94901-2084 · (415) 456-1050
Phone(415) 456-1050
Sole ProprietorYes
Enumeration DateSeptember 23, 2014
✔ NPI 1679975478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · LCS 23301
1480 LINCOLN AVE, San Rafael, CA 94901
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Other Providers at the Same Location NPPES 12

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

ALYSSA PARIS
Marriage & Family Therapist
1480 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (310) 909-4834
GEORGIANA RUMMAN
Student in an Organized Health Care Education/Training Program
1480 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (858) 951-7266
MS. ELIZABETH ANN REA MA, MFT INTERN
Marriage & Family Therapist
1480 LINCOLN AVE, #8
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
MEGHAN K YOUNG M.A., MFTI
Marriage & Family Therapist
1480 LINCOLN AVE, #8
SAN RAFAEL, CA 94901
Marin County (727) 743-9068
ANANYA HIXON MA, MFT INTERN
Marriage & Family Therapist
1480 LINCOLN AVE, #8
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
CHRIS THORSON
Student in an Organized Health Care Education/Training Program
1480 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
VANESSA ADERS
Marriage & Family Therapist
1480 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
DR. CHRISTINE M VANDENBROUCKE-BOUCKAERT PH.D.IN CLINICAL PSY
Psychologist (Clinical)
1480 LINCOLN AVE, #12
SAN RAFAEL, CA 94901
Marin County (415) 457-5145

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 Mary Serphos's NPI number?

The NPI number for Mary Serphos is 1679975478. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Mary Serphos located?

Mary Serphos practices at 1480 Lincoln Ave, San Rafael, CA 94901. The listed phone number is (415) 456-1050.

What is Mary Serphos's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Serphos was last updated on September 23, 2014. 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.