Organization Active NPI

Kimberlee Mendoza Marriage and Family Therapy

  • Community/Behavioral Health Agency
  • Glendora, CA
National Provider Identifier
1255088258
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KIMBERLEE MENDOZA MARRIAGE AND FAMILY THERAPY
Practice address
216 N Glendora Ave Ste 203C
Glendora, CA 91741-6924
Phone
(909) 454-3991
NPI assigned
Mar 9, 2022
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Kimberlee Sue Mendoza, LMFTNPI 1164175360
Title
President/Owner
Phone
(714) 269-4070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

216 N Glendora Ave Ste 203C
Glendora, CA 91741-6924

Mailing address

216 N Glendora Ave Ste 203C
Glendora, CA 91741-6924
Phone (714) 269-4070

National Provider Directory

National Provider Directory

Locations

216 N Glendora Ave
Ste 203C
Glendora, CA 91741
Phone (909) 454-3991

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": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1255088258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N GLENDORA AVE STE 203C",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416924",
            "telephone_number": "714-269-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N GLENDORA AVE STE 203C",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416924",
            "telephone_number": "909-454-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLEE MENDOZA MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "714-269-4070",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.