Brooke Kettering LMFT

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BROOKE KETTERING LMFT

Practice address

4850 Muir Ave Apt 9
San Diego, CA 92107-2145

Phone

(805) 633-0761

NPI assigned

Jun 13, 2023

Organization subpart

No

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

Authorized official

Name

Brooke Kettering, LMFT

Title

President

Phone

(805) 633-0761

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1467136101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 MUIR AVE APT 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072145",
            "telephone_number": "805-633-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 MUIR AVE APT 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072145",
            "telephone_number": "805-633-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE KETTERING LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "KETTERING",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-633-0761",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Brian Bronson, MD
• Kimberly Bronson, PPS
• Michael Bronson, M.D.
• Lauri B Bronzellino
• Sarah Ann Bronzini
• Brooke Marino, DNP, Pmhnp-BC, a Professional Nursing Corporation
• George A. Brooker Jr., D.O.
• Janice Elizabeth Brookes, LCSW
• Lauren Brookman-Frazee, PH.D.
• Brittany Brooks, RN

• Adult Mental Health Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.