Kassandra Estrella

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

150048 Issued in CA

Practice address

6117 Brockton Ave Ste 202
Riverside, CA 92506-2207

Phone

(619) 775-9202

NPI assigned

Apr 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bellator Psychological and Consultants Corporation

  • Psychologist
  • Riverside, CA
  • NPI 1962124941

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1780247981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 BROCKTON AVE STE 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062207",
            "telephone_number": "619-775-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 BROCKTON AVE STE 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062207",
            "telephone_number": "619-775-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLA",
        "first_name": "KASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130501",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Estrada
• Veronica Estrada
• Yesenia Estrada, RN
• Ysidoro Daniel Estrada
• Julie Estrella
• Esv Medsupply
• Maria Josefa Etcheverry, MD
• Dena Etemadi
• Khashayar Etemadi
• Melissa Etherton, DPT

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.