Kelly Orchard, Marriage and Family Therapist, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KELLY ORCHARD, MARRIAGE AND FAMILY THERAPIST, INC.

Practice address

32605 Temecula Pkwy Ste 207
Temecula, CA 92592-6839

Phone

(760) 887-4444

NPI assigned

Aug 7, 2019

Last updated

Oct 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Orchard, MFTNPI 1306104757

Title

President

Phone

(760) 887-4444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Orchard, LMFT77525

  • Marriage & Family Therapist
  • Temecula, CA
  • NPI 1306104757
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1538714431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY STE 207",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926839",
            "telephone_number": "760-887-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY STE 207",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926839",
            "telephone_number": "760-887-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY ORCHARD, MARRIAGE AND FAMILY THERAPIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "ORCHARD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-887-4444",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Kelley, PMHNP-BC
• Michelle Kelley, LCSW
• Steven Thomas Kelley, M.D.
• Tamara Kelley
• Laura Kellogg
• Donna Kelly, BCBA
• Daniel Kemmer, D.C.
• Sandra Kemp
• Tiera Kennedy-Vargas, RN,BSN
• Yenny Angelina Kennedy, DDS

• Adult Mental Health Clinic/Center in Temecula, CA
• Providers in Temecula, 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 Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.