Organization Active NPI

New Leaf Therapy Marriage and Family Therapy Professional Corporation

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1609674233
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NEW LEAF THERAPY MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION
Practice address
1661 Harvey Milk St Apt 516
San Diego, CA 92103-3789
Phone
(619) 261-7785
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Kameron Kaveh, LMFTNPI 1568047801
Title
Owner
Phone
(619) 261-7785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1661 Harvey Milk St Apt 516
San Diego, CA 92103-3789

Mailing address

1661 Harvey Milk St Apt 516
San Diego, CA 92103-3789
Phone (619) 261-7785

Other names 1

  • New Leaf Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1609674233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 HARVEY MILK ST APT 516",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033789",
            "telephone_number": "619-261-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 HARVEY MILK ST APT 516",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033789",
            "telephone_number": "619-261-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF THERAPY MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "KAVEH",
        "authorized_official_first_name": "KAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-261-7785",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Leaf Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.