Kelly Kaitson Psychotherapy Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KELLY KAITSON PSYCHOTHERAPY INC.

Practice address

100 E San Marcos Blvd Ste 400
San Marcos, CA 92069-2988

Phone

(619) 955-2291

NPI assigned

May 30, 2023

Organization subpart

No

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

Authorized official

Name

Kelly Kaitson, LCSWNPI 1447764147

Title

President

Phone

(760) 415-0085

Specialties & licenses 1

Addresses

Other names 1

• Kelly Kaitson Psychotherapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly M. Kaitson, LCSW

  • Clinical Social Worker
  • San Marcos, CA
  • NPI 1447764147
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1245923853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 TWILIGHT GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920265014",
            "telephone_number": "760-415-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SAN MARCOS BLVD STE 400",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692988",
            "telephone_number": "619-955-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY KAITSON PSYCHOTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "KAITSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-415-0085",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Kaitson Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kelly Kaitson Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Radmila Kazanegra, M.D.
• Kenneth Keane, CADC-II
• Kelley Brennan Keatly
• Elizabeth H Keck
• Lisa Keller
• Jada Rosario Kelly
• Kathleen Kelly
• Yantzy Escoto Kempe
• Hannah Kennedy
• Sarah Elise Kennedy, BA

• Adult Mental Health Clinic/Center in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.