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

Marvin Behavioral Health Inc

Organization Mental Health Counselor · NPI 1700541612

Marvin Behavioral Health Inc is a Mental Health Counselor in Marina del Rey, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4136 Del Rey Ave Ste 626
Marina del Rey, CA 90292-5604
Phone: (617) 249-6854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1700541612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Bracaglia — Ceo · (610) 937-2023
NPI enumeratedNovember 4, 2021
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022
Mailing address4136 Del Rey Ave Ste 626, Marina Del Rey, CA 90292-5604

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