Individual provider Active NPI

Kimberly Diane Ortiz- Hartman, LMFT

  • Marriage & Family Therapist
  • Armonk, NY
National Provider Identifier
1154610301
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001622 Issued in NY
Practice address
1 Hunter Ave Ste a
Armonk, NY 10504-2025
Phone
(914) 730-6377
NPI assigned
Mar 28, 2011
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 83635 CA
Marriage & Family Therapist 106H00000X 001622 NY Primary
Marriage & Family Therapist 106H00000X 66085 CA

Addresses

Primary practice location

1 Hunter Ave Ste a
Armonk, NY 10504-2025

Mailing address

1 Hunter Ave Ste a
Armonk, NY 10504-2025
Phone (147) 306-3779

Other practice location 1

617 Saxony Pl
Encinitas, CA 92024-2797
Phone (619) 356-1915

Other practice location 2

500 La Terraza Blvd
Escondido, CA 92025-3875
Phone (760) 745-0281

Other practice location 3

1324 Reed Ave
San Diego, CA 92109-5166
Phone (845) 527-6730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
83635CAMDMarriage & Family Therapist
001622NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1154610301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTER AVE STE A",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042025",
            "telephone_number": "147-306-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTER AVE STE A",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042025",
            "telephone_number": "914-730-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 Saxony Pl",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920242797",
            "country_code": "US",
            "telephone_number": "619-356-1915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 La Terraza Blvd",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920253875",
            "country_code": "US",
            "telephone_number": "760-745-0281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 Reed Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921095166",
            "country_code": "US",
            "telephone_number": "845-527-6730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ- HARTMAN",
        "first_name": "KIMBERLY",
        "middle_name": "DIANE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83635",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001622",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "66085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Armonk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.