Individual provider Active NPI

Karyn L Galindo, LMFT

  • Marriage & Family Therapist
  • Ontario, CA
National Provider Identifier
1699339036
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
129194 Issued in CA
Practice address
3045 S Archibald Ave Ste H109
Ontario, CA 91761-9001
Phone
(909) 917-6889
NPI assigned
Apr 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 129194 CA Primary

Addresses

Primary practice location

3045 S Archibald Ave Ste H109
Ontario, CA 91761-9001

Mailing address

3045 S Archibald Ave Ste H109
Ontario, CA 91761-9001
Phone (909) 917-6889

Other identifiers 2

IdentifierTypeStateIssuer
AMFT89756OtherCASTATE OF CALIFORNIA
AMFT89756OtherCAASSOCIATE MFT

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

LicenseStateTypeSpecialty
129194CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Octave Behavioral Health PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1699339036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 S ARCHIBALD AVE STE H109",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619001",
            "telephone_number": "909-917-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 S ARCHIBALD AVE STE H109",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619001",
            "telephone_number": "909-917-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALINDO",
        "first_name": "KARYN",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "AMFT89756",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE MFT",
            "identifier": "AMFT89756",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.