Organization Active NPI

Kitty Chelton MFT

  • Community/Behavioral Health Agency
  • Sebastopol, CA
National Provider Identifier
1053703967
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFT30322 Issued in CA
Legal business name
KITTY CHELTON MFT
Practice address
7765 Healdsburg Ave Ste 12
Sebastopol, CA 95472-3355
Phone
(707) 823-8203
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Ms. Kitty Chalmers Chelton, MFT
Title
Owner
Phone
(707) 823-8203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MFT30322 CA Primary

Addresses

Primary practice location

7765 Healdsburg Ave Ste 12
Sebastopol, CA 95472-3355

Mailing address

7765 Healdsburg Ave Ste 12
Sebastopol, CA 95472-3355
Phone (707) 823-8203

National Provider Directory

National Provider Directory

Locations

7765 Healdsburg Ave
Ste 12
Sebastopol, CA 95472
Phone (707) 486-2947

Practitioners & affiliated clinicians

Practitioners 1

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": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1053703967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7765 HEALDSBURG AVE STE 12",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723355",
            "telephone_number": "707-823-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 HEALDSBURG AVE STE 12",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723355",
            "telephone_number": "707-823-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTY CHELTON MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "CHELTON",
        "authorized_official_first_name": "KITTY",
        "authorized_official_middle_name": "CHALMERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-823-8203",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFT30322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.