Active NPI
Kristine Anne Novotny, M.A.
- Marriage & Family Therapist
- Carlsbad, CA
National Provider Identifier
1467590653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 51348
- Practice address
- 2558 Roosevelt St Ste 304
Carlsbad, CA 92008-1672 - Phone
- (760) 688-8922
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 51348 | CA | Primary |
Addresses
Primary practice location
2558 Roosevelt St Ste 304
Carlsbad, CA 92008-1672
Mailing address
7915 Vista Nuez
Carlsbad, CA 92009
Phone (760) 688-8922
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0408170 | Other | AZ | BLUE CROSS BLUE SHIELD |
| MFC 51348 | Other | CA | MFT |
Other names 1
- Mrs. Kristine Anne Zeleznak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 51348 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1467590653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7915 VISTA NUEZ",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92009",
"telephone_number": "760-688-8922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2558 ROOSEVELT ST STE 304",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081672",
"telephone_number": "760-688-8922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOTNY",
"first_name": "KRISTINE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 51348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0408170",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFT",
"identifier": "MFC 51348",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "ZELEZNAK",
"middle_name": "ANNE",
"prefix": "MRS.",
"credential": "LMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.