OrganizationActive
Child Therapy Institute of Marin
NPI 1790216489 · Community/Behavioral Health Agency · Corte Madera, CA
Provider details
- NPI number
- 1790216489
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Brian Lukas, Executive Director(415) 456-7724
Specialties & taxonomies
Agencies
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
240 Tamal Vista Blvd
#155
Corte Madera, CA 94925-1132
Phone: (415) 456-7724
Fax: (415) 456-1050
Street-level locationGet directions
Mailing address
1480 Lincoln Ave
San Rafael, CA 94901-2084
Registry dates
- Enumerated
- 2017-03-23
- Last updated
- 2017-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.