Organization · Type 2 NPI

The Child Therapy Institute of Marin

Mental Health Clinic/Center (Including Community Mental Health Center) · Berkeley, CA

NPI number 1760891931 Active

Practice location

2300 Martin Luther King Jr Way
Berkeley, CA 94704-1412

Call (510) 644-6310 Map

Mailing address

1480 Lincoln Ave Ste 8
San Rafael, CA 94901-2085

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

Devon D'avanzoMarriage & Family Therapist Berkeley, CA NPI 1497257349

Other mental health clinic/center (including community mental health center) providers in Berkeley

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NPI record

NPI: 1760891931
Entity type: Organization (Type 2)
Issued: Aug 12, 2014
Last updated: May 20, 2025
Status: Active

Other names

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Washington Elementary School · doing business as
Washington Elementary School · doing business as

Authorized official

Dr. Brian Lukas, PhD
Executive Director
(415) 456-7724

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760891931

The Child Therapy Institute of Marin's National Provider Identifier is 1760891931, issued on Aug 12, 2014. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Berkeley, CA. The record was last updated on May 20, 2025.