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

Mr. Paul R Puccinelli

Individual provider Marriage & Family Therapist · NPI 1689956286

Mr. Paul R Puccinelli is a Marriage and Family Therapist in San Anselmo, California. Qualified in 2013, 13 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
13
In the registry since
2011
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

15 Austin Ave
San Anselmo, CA 94960-2924
Phone: (415) 342-2839
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1 Saint Vincents Dr, San Rafael, CA 94903-1504 — (415) 507-4262

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1689956286
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 9, 2011
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Anselmo