Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COUNTY OF MARIN
Active
Organization
COUNTY OF MARIN
Active
Parent organization
COUNTY OF MARIN
Other names
BHRS IMPACT Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF MARIN
Authorized official
ROSANNA LALLANA (COMPLIANCE/PRIVACY OFFICER)
(415) 473-2087
Entity
Organization
Contact information
Practice address
1682 NOVATO BLVD STE 105, NOVATO, CA 94947-7021
(415) 473-2721
Mailing address
20 N SAN PEDRO RD STE 2021, SAN RAFAEL, CA 94903-4158
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2177
—
CA
Enumeration date
04/13/2018
Last updated
05/17/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up