Individual provider Active NPI

Kathleen Ann Moore-Alpaugh, M.F.T.

  • Marriage & Family Therapist
  • San Marino, CA
National Provider Identifier
1437350717
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT8654 Issued in CA
Practice address
1625 Chelsea Rd
San Marino, CA 91108-2419
Phone
(626) 799-8581
Fax
(626) 441-0654
NPI assigned
May 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT8654 CA Primary

Addresses

Primary practice location

1625 Chelsea Rd
San Marino, CA 91108-2419

Mailing address

262 Mockingbird LN
South Pasadena, CA 91030-2053
Phone (626) 799-8581

Other names 1

  • Ms. Kathleen Ann Moore-Alpaugh Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT8654CAMDMarriage & Family Therapist
8654CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437350717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 MOCKINGBIRD LN",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302053",
            "telephone_number": "626-799-8581",
            "fax_number": "626-441-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 CHELSEA RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082419",
            "telephone_number": "626-799-8581",
            "fax_number": "626-441-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-ALPAUGH",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT8654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MOORE-ALPAUGH",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "M.F.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Marino, CA

Sources for this page

Verify at the official NPI Registry.