Active NPI
Kirsten Lilli Deck
- Marriage & Family Therapist
- Cypress, CA
National Provider Identifier
1669661443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 44967
- Practice address
- 5400 Orange Ave
Suite #114
Cypress, CA 90630-3757 - Phone
- (562) 607-5238
- NPI assigned
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 44967 | CA | Primary |
Addresses
Primary practice location
5400 Orange Ave
Suite #114
Cypress, CA 90630-3757
Mailing address
5400 Orange Ave
Suite #114
Cypress, CA 90630-3757
Phone (562) 607-5238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44967 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1669661443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 ORANGE AVE",
"address_2": "SUITE #114",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303757",
"telephone_number": "562-607-5238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 ORANGE AVE",
"address_2": "SUITE #114",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303757",
"telephone_number": "562-607-5238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECK",
"first_name": "KIRSTEN",
"middle_name": "LILLI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "44967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.