Kristin M Palmer, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC53532 Issued in CA

Practice address

191 Sand Creek Rd
Suite 202F
Brentwood, CA 94513-2215

Phone

(925) 301-3360

NPI assigned

Mar 5, 2015

Last updated

Mar 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 7, 2024 through Jan 7, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1033502760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SAND CREEK RD",
            "address_2": "SUITE 202F",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132215",
            "telephone_number": "925-301-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 SAND CREEK RD",
            "address_2": "SUITE 202F",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132215",
            "telephone_number": "925-301-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC53532",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "5745547-3902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sujatha Annadurai Padavettan, DDS
• William S. Paden
• Stephanie S Padero, OTR/L
• Edgar Padilla-Perez
• Lacresia Paige
• Rolf Gustav Palmer, MD
• Hasmin Palo
• Bianca Adriana Palomera
• Pam Mikolajczyk Marriage & Family Therapist, a Professional Corporatio
• Rajwant Kaur Panesar, ADMINISTRATOR

• Marriage & Family Therapist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.