Active NPI
Yvette Leila Kraiss, M.A., LMFT
- Marriage & Family Therapist
- El Segundo, CA
National Provider Identifier
1174643696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 45679
- Practice address
- 214 Main St
#446
El Segundo, CA 90245-3803 - Phone
- (818) 636-4883
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 45679 | CA | Primary |
Addresses
Primary practice location
214 Main St
#446
El Segundo, CA 90245-3803
Mailing address
214 Main St
#446
El Segundo, CA 90245-3803
Phone (818) 636-4883
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45679 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1174643696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 MAIN ST",
"address_2": "#446",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902453803",
"telephone_number": "818-636-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 MAIN ST",
"address_2": "#446",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902453803",
"telephone_number": "818-636-4883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAISS",
"first_name": "YVETTE",
"middle_name": "LEILA",
"name_prefix": "Mrs.",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "45679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.