Wendy Kirk-Scalise, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT15940 Issued in CA

Practice address

711 D St Ste 201
San Rafael, CA 94901-3704

Phone

(415) 453-6139

NPI assigned

Jul 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Wendy Kirk Professional name

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1356950414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 WISTERIA WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032426",
            "telephone_number": "415-453-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 D ST STE 201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013704",
            "telephone_number": "415-453-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK-SCALISE",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT15940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "KIRK",
            "prefix": "DR.",
            "credential": "PHD,MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Morrakot King
• Debra Jean Kinninger, P.T.
• Maurice D. Kinsolving, MD
• Svetlana Kipnis
• John J Kirby, D.D.S.
• Gretchen W. Kishbaugh, PH.D.
• Lindsay Kittredge, PH.D.
• Lucy Ann Klein
• Michael Klein, PHD
• Marie Kleinrock, RN, MS, CNS

• Marriage & Family Therapist in San Rafael, CA
• Providers in San Rafael, 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 Jul 8, 2021; 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.