Kaitlin Carroll

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT148004 Issued in CA

Practice address

8775 Aero Dr Ste 333
San Diego, CA 92123-1756

Phone

(858) 384-7035

NPI assigned

Jan 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Research Foundation, Inc.

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1154544351
  NPD (past)

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1558022806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6059 RANCHO MISSION RD UNIT 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082369",
            "telephone_number": "619-206-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 AERO DR STE 333",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231756",
            "telephone_number": "858-384-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT148004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Carroll, M.A., CCC-SLP
• Catherine Carroll, MD
• Debra Marzelle Carroll, M.D., M.P.H.
• Erin Leigh Carroll
• Jeanne Marie Carroll, M.D.
• Karen C Carroll, R.N., C.N.S.
• Kathleen Mary Carroll, LCSW
• Kayla Carroll
• Kelly Carroll, DNP
• Lisa D Carroll, LCSW

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.