Kellie Marie Jarvie

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

80085 Issued in CA

Practice address

160 E Holt Ave
Pomona, CA 91767-5406

Phone

(909) 620-2521

Fax

(909) 620-9793

NPI assigned

Aug 3, 2010

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Faculty Physicians and Surgeons of Llusm

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  • Apple Valley, CA
  • NPI 1205009917
  Medicare reassignment NPD
• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Marriage & Family Therapist

  Medicare reassignment NPD
• Faculty Physicians and Surgeons of Llusm

  • Pediatrics Physician
  • San Bernardino, CA
  • NPI 1124077516
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1558788331
  NPD

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578877338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7216 GARNET ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917015612",
            "telephone_number": "626-622-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675406",
            "telephone_number": "909-620-2521",
            "fax_number": "909-620-9793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 E Foothill Blvd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910062307",
            "country_code": "US",
            "telephone_number": "626-737-6053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVIE",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Janosky
• Matthew Ulysses Janssen, M.D..
• Samantha V Jape, NP
• Elizabeth Jara
• Liliana Araceli Jaramillo
• Michael Dryden Jaso, DO
• Jason H. Shin, MD, Inc., a Professional Medical Corporation
• Danielle Jasso
• Elva Jasso
• Igsel Jasso

• Marriage & Family Therapist in Pomona, CA
• Providers in Pomona, 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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.