Individual provider Active NPI

Richard Kastanias Sr.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1174671325
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC31580 Issued in CA
Practice address
591 Camino de la Reina
Suite 918
San Diego, CA 92108-3102
Phone
(619) 417-4923
Fax
(619) 294-8190
NPI assigned
Jan 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC31580 CA Primary

Addresses

Primary practice location

591 Camino de la Reina
Suite 918
San Diego, CA 92108-3102

Mailing address

954 23Rd St
San Diego, CA 92102-1914
Phone (619) 417-4923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31580CAMDHealth Psychologist
MFC31580CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Individual & Marital Therapy by Richard K Inc CurrentSince Jul 31, 2023 Accepting new patients

Locations

2525 Camino del Rio S
Ste 107
San Diego, CA 92108
Phone (619) 417-4923

Interoperability endpoints

  • Direct secure messaging: richard.kastanias.p1@direct.sokya.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174671325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 23RD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021914",
            "telephone_number": "619-417-4923",
            "fax_number": "619-294-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA",
            "address_2": "SUITE 918",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083102",
            "telephone_number": "619-417-4923",
            "fax_number": "619-294-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTANIAS",
        "first_name": "RICHARD",
        "name_prefix": "Mrs.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC31580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.