Kristina Copley Marriage and Family Therapy, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KRISTINA COPLEY MARRIAGE AND FAMILY THERAPY, INC

Practice address

1267 Rosecrans St Ste B
San Diego, CA 92106-2692

Phone

(619) 627-1505

Fax

(619) 393-0754

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Kristina Sciarrillo Copley, LMFT

Title

Owner

Phone

(619) 627-1505

Specialties & licenses 1

Addresses

Other names 1

• Vida Somatic Therapy Doing business as

Practitioners 1

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

• Kristina Sciarrillo Wightkin, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1073060927
  NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1679113765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 ROSECRANS ST STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062692",
            "telephone_number": "619-627-1505",
            "fax_number": "619-393-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 ROSECRANS ST STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062692",
            "telephone_number": "619-627-1505",
            "fax_number": "619-393-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA COPLEY MARRIAGE AND FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "COPLEY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "SCIARRILLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-627-1505",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Somatic Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katharina Krison
• Kristen M Tenwolde
• Karin Kristensen, PSYD
• Kristin Green, a Licensed Marriage and Family Therapist
• Kristin R Rice MD PC
• Kristine Ching OT Inc
• Kristine Ching OT Inc
• Kristine N. Tran, DDS, Inc.
• Virginia P Kristl, FNP
• Kraig C Kristofferson

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.