Organization Active NPI

Kcastillo Marriage Family Child Therapy Inc

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1417656380
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KCASTILLO MARRIAGE FAMILY CHILD THERAPY INC
Practice address
5151 N Palm Ave Ste 750
Fresno, CA 93704-2221
Phone
(559) 492-9411
NPI assigned
Feb 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Krystal M. Castillo, LMFT
Title
Owner
Phone
(559) 492-9411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5151 N Palm Ave Ste 750
Fresno, CA 93704-2221

Mailing address

5151 N Palm Ave Ste 750
Fresno, CA 93704-2221
Phone (559) 492-9411

National Provider Directory

National Provider Directory

Locations

5151 N Palm Ave
Ste 750
Fresno, CA 93704
Phone (559) 226-0198

Practitioners & affiliated clinicians

Practitioners 3

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": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1417656380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 N PALM AVE STE 750",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042221",
            "telephone_number": "559-492-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N PALM AVE STE 750",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042221",
            "telephone_number": "559-492-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCASTILLO MARRIAGE FAMILY CHILD THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-492-9411",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.