Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Child Therapy Institute of Marin

Organization Community/Behavioral Health Agency · NPI 1619014081

Child Therapy Institute of Marin is a Community/Behavioral Health Agency in San Rafael, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

1480 Lincoln Ave Ste 8
San Rafael, CA 94901-2085
Phone: (415) 456-7724
Fax: (415) 456-1050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1619014081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Lukas — Executive Director · (415) 456-7724
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address1480 Lincoln Ave Ste 8, San Rafael, CA 94901-2085

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