Kids Play Therapy, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS19627 Issued in CA

Legal business name

KIDS PLAY THERAPY, INC.

Practice address

5100 N 6TH St
#140
Fresno, CA 93710-7514

Phone

(559) 246-0210

NPI assigned

Jul 7, 2008

Organization subpart

No

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

Authorized official

Name

Mary Elizabeth Watts, LCSWNPI 1952428427

Title

Ceo

Phone

(559) 246-0210

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mary E Watts, LCSW

  • Clinical Social Worker
  • Fresno, CA
  • NPI 1952428427
  NPD (past) Authorized official

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1306009642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E NILES AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202300",
            "telephone_number": "559-246-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST",
            "address_2": "#140",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107514",
            "telephone_number": "559-246-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PLAY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-246-0210",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Kidd, M.S.
• Darren Michael Kidd
• Trenton Edward Kidder
• Tamiko H Kido, M.D.
• Kids 2 Dentist Fresno, LLC
• Maria Sheu Kidwell, DDS
• Mallory Kieda
• Danielle Cathleene Kiel, OTR
• Richard George Kiel, M.D.
• Keith Ormon Kielmeyer, M.D.

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.