Organization Active NPI

Connect Play Therapy & Family Therapy, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Irvine, CA
National Provider Identifier
1003563404
Registry record updated Feb 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CONNECT PLAY THERAPY & FAMILY THERAPY, INC.
Practice address
18 Technology Dr Ste 118
Irvine, CA 92618-2310
Phone
(949) 922-4564
NPI assigned
Mar 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristie Lea Houk Cain, MA, LMFTNPI 1922324292
Title
Ceo/President
Phone
(949) 922-4564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

18 Technology Dr Ste 118
Irvine, CA 92618-2310

Mailing address

18 Technology Dr Ste 118
Irvine, CA 92618-2310
Phone (949) 922-4564

Other practice location 1

16 Technology Dr Ste 156
Irvine, CA 92618-2327
Phone (949) 922-4564

Other names 1

  • Connected Life Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CareSpecialist@ConnectedLife.Family Direct

National Provider Directory

National Provider Directory

Locations

18 Technology Dr
Ste 118
Irvine, CA 92618
Phone (949) 322-7364

16 Technology Dr
Ste 156
Irvine, CA 92618
Phone (949) 922-4564

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676678400000",
    "number": "1003563404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 TECHNOLOGY DR STE 118",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182310",
            "telephone_number": "949-922-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 TECHNOLOGY DR STE 118",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182310",
            "telephone_number": "949-922-4564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Technology Dr Ste 156",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926182327",
            "country_code": "US",
            "telephone_number": "949-922-4564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONNECT PLAY THERAPY & FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "HOUK CAIN",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "949-922-4564",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CareSpecialist@ConnectedLife.Family",
            "affiliation": "N",
            "endpointDescription": "Google email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "General Information",
            "address_1": "18 Technology Dr Ste 118",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926182310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Connected Life Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Connected Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.