Individual provider Active NPI

Elaine Velissaratos-Kratsas, M.S.

  • Marriage & Family Therapist
  • Pleasant Hill, CA
National Provider Identifier
1295866945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF #44874 Issued in CA
Practice address
140 Mayhew Way
606
Pleasant Hill, CA 94523-4328
Phone
(925) 932-0150
Fax
(925) 210-0842
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

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 IMF #44874 CA Primary

Addresses

Primary practice location

140 Mayhew Way
606
Pleasant Hill, CA 94523-4328

Mailing address

2617 Silverado Dr
Antioch, CA 94509-6420
Phone (925) 522-8366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMF #44874CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295866945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 SILVERADO DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096420",
            "telephone_number": "925-522-8366",
            "fax_number": "925-522-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAYHEW WAY",
            "address_2": "606",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234328",
            "telephone_number": "925-932-0150",
            "fax_number": "925-210-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELISSARATOS-KRATSAS",
        "first_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF #44874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.