NPIMap

Organization Active NPI

Kathryn de Bruin Family Therapy and Training Inc.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1184043614
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43615 Issued in CA
Legal business name
KATHRYN DE BRUIN FAMILY THERAPY AND TRAINING INC.
Practice address
2851 Camino del Rio S Ste 300
San Diego, CA 92108-3814
Phone
(619) 352-0064
Fax
(619) 342-7753
NPI assigned
Apr 14, 2014
Last updated
Dec 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Mrs. Kathryn N De Bruin, LMFTNPI 1053699751
Title
President/Owner
Phone
(619) 840-3353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 43615 CA Primary

Addresses

Primary practice location

2851 Camino del Rio S Ste 300
San Diego, CA 92108-3814

Mailing address

2851 Camino del Rio S Ste 300
San Diego, CA 92108-3814
Phone (619) 352-0064

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1184043614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 CAMINO DEL RIO S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083814",
            "telephone_number": "619-352-0064",
            "fax_number": "619-342-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 CAMINO DEL RIO S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083814",
            "telephone_number": "619-352-0064",
            "fax_number": "619-342-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN DE BRUIN FAMILY THERAPY AND TRAINING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "DE BRUIN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "619-840-3353",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.