NPIMap

Organization Active NPI

David Khalili Marriage and Family Therapy, Inc

  • Mental Health Counselor
  • San Francisco, CA
National Provider Identifier
1679268346
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DAVID KHALILI MARRIAGE AND FAMILY THERAPY, INC
Practice address
4124 18TH St
San Francisco, CA 94114-2408
Phone
(415) 448-6743
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
David F Khalili, LMFTNPI 1093022667
Title
Owner
Phone
(415) 448-6743

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4124 18TH St
San Francisco, CA 94114-2408

Mailing address

4124 18TH St
San Francisco, CA 94114-2408
Phone (415) 448-6743

Other names 1

  • Rouse Relational Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

4124 18th St
San Francisco, CA 94114
Phone (415) 200-2119

Practitioners & affiliated clinicians

Practitioners 5

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": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1679268346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 18TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142408",
            "telephone_number": "415-448-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 18TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142408",
            "telephone_number": "415-448-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KHALILI MARRIAGE AND FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "KHALILI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-448-6743",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rouse Relational Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.