MR. PAUL R PUCCINELLI
NPI 1689956286
Marriage & Family Therapist in San Anselmo, CA

Q: What is Paul Puccinelli's NPI number?

The NPI number for Paul Puccinelli is 1689956286. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Q: What is Paul Puccinelli's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Puccinelli was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 09, 2011PECOS EnrolledAccepts Medicare Assignment

15 AUSTIN AVE, SAN ANSELMO, CA 94960(415) 342-2839 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2023, Apr 24, 2020 (2 updates tracked since 2020).

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About Mr. Paul R Puccinelli NPPES

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

MR. PAUL R PUCCINELLI (NPI 1689956286) is an individual marriage & family therapist in San Anselmo, California and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Rafael, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689956286

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. PAUL R PUCCINELLI

Location Address15 AUSTIN AVESan Anselmo, CA 94960-2924

Mailing Address15 Austin AveSan Anselmo, CA 94960-2924 · (415) 342-2839

Phone(415) 342-2839

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 9, 2011

Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2023

✔ NPI 1689956286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

15 AUSTIN AVE, San Anselmo, CA 94960

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Secondary Practice Location 1

Location 11 Saint Vincents DrSan Rafael, CA 94903-1504 · Phone (415) 507-4262 · Fax (415) 444-0532

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Paul R Puccinelli is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305288572

PECOS Enrollment IDI20240809001544

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

MISS ELAINE GRACE MCMAHON M.F.T.

Marriage & Family Therapist