Kristina Kalaya Clancy, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

119299 Issued in CA

Practice address

2333 1St Ave Ste 203
San Diego, CA 92101-1540

Phone

(619) 841-1428

NPI assigned

Jun 17, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1164048955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8937 TRAILRIDGE AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712051",
            "telephone_number": "850-240-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 1ST AVE STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011540",
            "telephone_number": "619-841-1428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8937 Trailridge Ave",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "920712051",
            "country_code": "US",
            "telephone_number": "850-240-4046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "KRISTINA",
        "middle_name": "KALAYA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com",
            "affiliation": "N",
            "address_1": "2333 1st Ave Ste 203",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921011540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clairemont Healthcare & Wellness Centre, LLC
• Clairemont Management Services, LLC
• Clairemont Mesa Operations, LLC
• Clairemont Villa Adult Day Health Center
• Christina Clampett, LMFT
• Nancy Ellen Clancy, OTR/L
• Christopher Clanton
• Dawn K Clapham, NP
• Mark F Clapper, MD
• Michael J. Clar, MD

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Jun 17, 2020; 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.