NPIMap

Organization Active NPI

Ciardella Therapy & Family Wellness, Inc.

  • Marriage & Family Therapist
  • El Dorado Hills, CA
National Provider Identifier
1366045213
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CIARDELLA THERAPY & FAMILY WELLNESS, INC.
Practice address
895 Embarcadero Dr Ste 210
El Dorado Hills, CA 95762-1406
Phone
(916) 538-1683
NPI assigned
Nov 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Dr. Kimberly Ann Ciardella, PSYD, LMFTNPI 1073804076
Title
Founder
Phone
(916) 538-1683

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

895 Embarcadero Dr Ste 210
El Dorado Hills, CA 95762-1406

Mailing address

895 Embarcadero Dr Ste 210
El Dorado Hills, CA 95762-1406
Phone (916) 538-1683

Other names 1

  • The Path Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

895 Embarcadero Dr
Ste 210
El Dorado Hills, CA 95762
Phone (916) 538-1683

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1366045213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 EMBARCADERO DR STE 210",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957621406",
            "telephone_number": "916-538-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 EMBARCADERO DR STE 210",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957621406",
            "telephone_number": "916-538-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIARDELLA THERAPY & FAMILY WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "CIARDELLA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "916-538-1683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Path Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.