Christina Marie Kruchakov, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT5059 Issued in FL

Practice address

8304 Garden Catalina Cir Apt 717
Wellington, FL 33467-6735

Phone

(850) 687-3462

NPI assigned

Feb 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christina Marie Scallan Former 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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1407552086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 S UNIVERSITY DR APT 7107",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285338",
            "telephone_number": "850-687-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8304 GARDEN CATALINA CIR APT 717",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334676735",
            "telephone_number": "850-687-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUCHAKOV",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT5059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "SCALLAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Krasner, MD
• Kenneth J Kraushar, CRNA
• Daniel Krauss
• Mahmoud H Krecht, PHARM. D
• Valeria Kresevic, D.D.S.
• Joshua Krumenacker, MD, PHD
• Sara Kublin
• Janet M Kulesa
• Sarthak Kumar, DO
• Kristy Kuntemeier, M.A., CCC-SLP

• Marriage & Family Therapist in Wellington, FL
• Providers in Wellington, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.