Individual provider Active NPI

Craig Steven Kleinman

  • Marriage & Family Therapist
  • Forestville, CA
National Provider Identifier
1871647370
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
23011 Issued in CA
Practice address
11220 Ridge Retreat Rd
Forestville, CA 95436-9738
Phone
(510) 225-8121
NPI assigned
Jan 22, 2007
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 23011 CA Primary

Addresses

Primary practice location

11220 Ridge Retreat Rd
Forestville, CA 95436-9738

Mailing address

11220 Ridge Retreat Rd
Forestville, CA 95436-9738
Phone (510) 225-8121

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
I20240130002305 CA Practitioner - Marriage and Family Therapist 8820441454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siyan Clinical CorporationGroup PAC ID 0042470122, 20 clinicians

Practice addresses (Care Compare)

480 Tesconi Cir
Suite B
Santa Rosa, CA 95401-4691
Phone 7072067268109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23011CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Jan 1, 2024 Accepting new patients
Siyan Clinical Corporation CurrentSince Jan 9, 2025 Accepting new patients
Alameda Health System CurrentSince Jan 1, 2024 Accepting new patients

Locations

15400 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 346-1468

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

480 Tesconi Cir
Ste B
Santa Rosa, CA 95401
Phone (707) 206-7268

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1871647370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 RIDGE RETREAT RD",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954369738",
            "telephone_number": "510-225-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 RIDGE RETREAT RD",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954369738",
            "telephone_number": "510-225-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINMAN",
        "first_name": "CRAIG",
        "middle_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "23011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestville, CA

Sources for this page

Verify at the official NPI Registry.