Kristin Kitagawa

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

48019 Issued in CA

Practice address

1441 N D St
San Bernardino, CA 92405-4747

Phone

(951) 384-0082

NPI assigned

Mar 28, 2017

Last updated

Jul 10, 2024By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1033641220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054747",
            "telephone_number": "951-384-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054747",
            "telephone_number": "951-384-0082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 E Cooley Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923243936",
            "country_code": "US",
            "telephone_number": "909-533-4889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITAGAWA",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "48019",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summer Victoria Kirkpatrick
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• Daniel Kishner, HAD
• Sood Kisra, MD
• Dora Kissi
• Daniel Steven Kitowski
• Kiyan Optometric
• Paul Arnold Kiyan, O.D.
• Robert Klacansky
• Adrienne Ann Knabb, M.A.

• Marriage & Family Therapist in San Bernardino, CA
• Providers in San Bernardino, 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 Jul 10, 2024; 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.