Krista L Depenbrok, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC45949 Issued in CA

Practice address

171 Front St
Suite 204
Danville, CA 94526-3347

Phone

(415) 307-3235

NPI assigned

Feb 6, 2009

Last updated

Feb 6, 2009By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1598904070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 S DONOVAN WAY",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945823253",
            "telephone_number": "925-828-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 FRONT ST",
            "address_2": "SUITE 204",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263347",
            "telephone_number": "415-307-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPENBROK",
        "first_name": "KRISTA",
        "middle_name": "L",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Elisabeth Demattia, LMFT
• Karin Denevi, MD
• Sara Stauffacher Denman, PSYD
• Dennis Metas (Valley Opticians)
• Julia Denniston, RN, IBCLC
• Liza Depetrillo, D.M.D.
• Lori Chan Der, PHARMD
• Dermatology & Laser Centre, Inc (Gergana Gallacher MD DBA Dermatology & Laser Centre)
• Uma Subramaniam Desai, M.D.
• Julia Descalso

• Marriage & Family Therapist in Danville, CA
• Providers in Danville, 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 Feb 6, 2009; 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.