Kathleen Kelly Barbosa Emidy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1679 E Main St
El Cajon, CA 92021-5212

Phone

(619) 441-1907

NPI assigned

Feb 13, 2018

Reactivated

Feb 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1609376953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 E MAIN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215212",
            "telephone_number": "619-441-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 E MAIN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215212",
            "telephone_number": "619-441-1907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1196 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919113131",
            "country_code": "US",
            "telephone_number": "619-427-4661",
            "fax_number": "619-426-7849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMIDY",
        "first_name": "KATHLEEN",
        "middle_name": "KELLY BARBOSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2019-03-01",
        "deactivation_date": "2018-02-16",
        "reactivation_date": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in El Cajon, CA
• Providers in El Cajon, 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 1, 2019; 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.