Kathleen Yoko Kubricky, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

92794 Issued in CA

Practice address

295 Old County Rd Ste 6
San Carlos, CA 94070-6240

Phone

(650) 398-7372

NPI assigned

Aug 10, 2023

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

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1093498594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 WOODSIDE RD UNIT 620769",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940627317",
            "telephone_number": "650-398-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 OLD COUNTY RD STE 6",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706240",
            "telephone_number": "650-398-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBRICKY",
        "first_name": "KATHLEEN",
        "middle_name": "YOKO",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in San Carlos, CA
• Providers in San Carlos, 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 Aug 10, 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.