K Derifield LMFT Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

K DERIFIELD LMFT INC

Practice address

218 W Main St Ste 104
Tustin, CA 92780-7709

Phone

(714) 267-7651

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Kellie Derifield, LMFTNPI 1265939243

Title

Chief Executive Officer

Phone

(714) 267-7651

Specialties & licenses 1

Addresses

Tax ID family

K Derifield LMFT Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• K Derifield LMFT Inc

  • Marriage & Family Therapist
  • Tustin, CA
  • NPI 1700745171
  NPD tax ID

Practitioners 1

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

• Kellie A Derifield, MA, LMFT

  • Marriage & Family Therapist
  • Tustin, CA
  • NPI 1265939243
  NPD Authorized official

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1639861016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 E WILSON AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928676164",
            "telephone_number": "714-267-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W MAIN ST STE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807709",
            "telephone_number": "714-267-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K DERIFIELD LMFT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "DERIFIELD",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-267-7651",
        "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": []
}

• Judy Benvenuto Marriage and Family Therapy Inc
• Andrew Jun
• Ashley Jung, DPT
• Carol Jung, PA-C
• Kevin C Jung, D.C.
• K Derifield LMFT Inc
• K&B Mag Corp.
• Kabacare Tustin Ca PC
• Gena E Kadar, D.C.
• Mimi Kahn, MSW,LCSW

• Marriage & Family Therapist in Tustin, CA
• Providers in Tustin, 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 May 23, 2023; 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.