Individual provider Active NPI

Kathleen Brand, LMFT

  • Marriage & Family Therapist
  • San Ramon, CA
National Provider Identifier
1437637139
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102433 Issued in CA
Practice address
18 Crow Canyon CT Ste 260
San Ramon, CA 94583-1774
Phone
(650) 397-1645
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 14-149 CA
Marriage & Family Therapist 106H00000X 102433 CA Primary

Addresses

Primary practice location

18 Crow Canyon CT Ste 260
San Ramon, CA 94583-1774

Mailing address

168 Blackstone Dr
Danville, CA 94506-1345
Phone (925) 736-4635

Other practice location 1

7950 Dublin Blvd Ste 304
Dublin, CA 94568-2929
Phone (650) 397-1645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 3, 2024 through Apr 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102433CAMDGeneral Practice Dentistry
14-149CAMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1437637139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 BLACKSTONE DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061345",
            "telephone_number": "925-736-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CROW CANYON CT STE 260",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831774",
            "telephone_number": "650-397-1645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7950 Dublin Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "CA",
            "postal_code": "945682929",
            "country_code": "US",
            "telephone_number": "650-397-1645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAND",
        "first_name": "KATHLEEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "CA",
            "license": "14-149",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.