Kathleen Carlson MFT Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

17742 Issued in CA

Legal business name

KATHLEEN CARLSON MFT INC

Practice address

1710 S Amphlett Blvd Ste 210H
San Mateo, CA 94402-2705

Phone

(650) 619-1198

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Kathleen Carlson, MFTNPI 1528541992

Title

Ceo

Phone

(650) 619-1198

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kathleen Carlson, MFT

  • Marriage & Family Therapist
  • San Mateo, CA
  • NPI 1528541992
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1114132065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S AMPHLETT BLVD",
            "address_2": "#210H",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022703",
            "telephone_number": "650-619-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S AMPHLETT BLVD STE 210H",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022705",
            "telephone_number": "650-619-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN CARLSON MFT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-619-1198",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "17742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise C Karr, MFT
• Nicholas Karsant
• Electra Barbara Kassimidis, LVN
• Naomi Kaswan, PHD
• Morgan Faye Katcher
• Kathryne Manor
• Merna Elias Katout
• Jen Kauer
• Jennifer Lea Kaufman, MD
• Stephanie Kaufman, MS

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, 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 Apr 6, 2017; 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.