Kathleen Ann Fitzgerald, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC29963 Issued in CA

Practice address

370 W Sierra Madre Blvd
Suite B
Sierra Madre, CA 91024-2354

Phone

(626) 355-5160

Fax

(626) 355-5173

NPI assigned

Nov 27, 2012

Last updated

Nov 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1215272570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W SIERRA MADRE BLVD STE 300",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910243017",
            "telephone_number": "626-355-5160",
            "fax_number": "626-355-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W SIERRA MADRE BLVD",
            "address_2": "SUITE B",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242354",
            "telephone_number": "626-355-5160",
            "fax_number": "626-355-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC29963",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "MFC29963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Diane Elson, LCSW
• Jossalyn T Emslie, M.D.
• Rachel Engels
• Vicki Chelsvig Ewing, LMFT
• Shannon Festin
• Ryan Forsell, LMFT
• Kirsten Jeanne Gardner, M.D.
• Patricia Louise Gieselman, MFT
• Jeffrey Allen Goff, RADT
• Jake Anthony Gonzales

• Marriage & Family Therapist in Sierra Madre, CA
• Providers in Sierra Madre, 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 Nov 27, 2012; 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.