Individual provider Active NPI

Kristin Duering McDonald, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1760611859
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
80106 Issued in CA
Practice address
6386 Alvarado CT Ste 210
San Diego, CA 92120-4907
Phone
(858) 279-1223
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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 80106 CA Primary

Addresses

Primary practice location

6386 Alvarado CT Ste 210
San Diego, CA 92120-4907

Mailing address

6386 Alvarado CT Ste 210
San Diego, CA 92120-4907

Other practice location 1

2351 Cardinal Ln
San Diego, CA 92123-3743
Phone (858) 573-2227

Other practice location 2

5650 Mount Ackerly Dr
San Diego, CA 92111-4016
Phone (858) 302-3300 ext. 3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503003480 CA Practitioner - Marriage and Family Therapist 4183064330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Mar 23, 2024 Accepting new patients

Locations

8881 Fletcher Pkwy
Ste 350
La Mesa, CA 91942
Phone (619) 465-9792

6386 Alvarado Ct
Ste 210
San Diego, CA 92120
Phone (619) 286-6687

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

Interoperability endpoints

  • Direct secure messaging: psycareassociates.kristinmcdonald@143255.advancedmd-direct.com

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1760611859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204907",
            "telephone_number": "858-279-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2351 Cardinal Ln",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921233743",
            "country_code": "US",
            "telephone_number": "858-573-2227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5650 Mount Ackerly Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921114016",
            "country_code": "US",
            "telephone_number": "858-302-3300 x3030",
            "fax_number": "858-292-9529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KRISTIN",
        "middle_name": "DUERING",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.