MR. BENJAMIN DAVID RUSSACK MFT
NPI 1801290770
Marriage & Family Therapist in San Rafael, CA

Q: What is Benjamin Russack's NPI number?

The NPI number for Benjamin Russack is 1801290770. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Q: What is Benjamin Russack'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 Benjamin Russack was last updated on October 21, 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.

Active since October 21, 2014

711 FOURTH STREET, 201, SAN RAFAEL, CA 94901(415) 497-1908 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Benjamin David Russack Mft NPPES

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

MR. BENJAMIN DAVID RUSSACK MFT (NPI 1801290770) is an individual marriage & family therapist in San Rafael, California, licensed in California (78602) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1801290770

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. BENJAMIN DAVID RUSSACKCredential: MFT

Location Address711 FOURTH STREET, 201San Rafael, CA 94901

Mailing Address711 Fourth Street, 201San Rafael, CA 94901 · (415) 497-1908

Phone(415) 497-1908

Sole ProprietorYes

Enumeration DateOctober 21, 2014

✔ NPI 1801290770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 78602

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.

711 FOURTH STREET, San Rafael, CA 94901

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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 Benjamin Russack's NPI number?

The NPI number for Benjamin Russack is 1801290770. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Where is Benjamin Russack located?

Benjamin Russack practices at 711 Fourth Street 201, San Rafael, CA 94901. The listed phone number is (415) 497-1908.

What is Benjamin Russack's specialty?

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

When was this NPI record last updated?

The NPPES record for Benjamin Russack was last updated on October 21, 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.