OrganizationActive
Benjaminrussack
NPI 1083014773 · Community/Behavioral Health Agency · Mill Valley, CA
Benjaminrussack is a Community/Behavioral Health Agency organization in Mill Valley, CA (NPI 1083014773).
Provider details
- NPI number
- 1083014773
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Benjamin Russack, Mft(415) 497-1908
- License
- 78602 (CA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 Shelley Dr Apt 6
Mill Valley, CA 94941-1562
Phone: (415) 497-1908
Street-level locationGet directions
Mailing address
20 Shelley Dr Apt 6
Mill Valley, CA 94941-1562
Registry dates
- Enumerated
- 2014-08-29
- Last updated
- 2014-08-29
Frequently asked questions
- What is Benjaminrussack's NPI number?
- Benjaminrussack's National Provider Identifier (NPI) is 1083014773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Benjaminrussack?
- Benjaminrussack is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Benjaminrussack located?
- Benjaminrussack's practice location on file with NPPES is 20 Shelley Dr Apt 6, Mill Valley, CA 94941-1562.
- What is Benjaminrussack's phone number?
- The practice phone number listed in the NPPES registry for Benjaminrussack is (415) 497-1908.
- Who is the authorized official for Benjaminrussack?
- The authorized official listed on Benjaminrussack's NPPES record is Benjamin Russack, Mft. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Benjaminrussack's NPI active?
- Yes — Benjaminrussack's NPI (1083014773) is active in the NPPES registry as of the last update on 2014-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.