Kelly L Kartub, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 34766 Issued in CA

Practice address

350 E Gobbi St
Ukiah, CA 95482-5511

Phone

(707) 472-2922

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly L McClung Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1891833653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 UVA DR",
            "city": "REDWOOD VALLEY",
            "state": "CA",
            "postal_code": "954709621",
            "telephone_number": "707-472-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E GOBBI ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825511",
            "telephone_number": "707-472-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARTUB",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 34766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MCCLUNG",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Jutzy, D.D.S.
• Bradley J Kammer, MFT
• Luke Chang-Dae Kang, MD
• Hope Kargel
• Brandon Karns
• Lori Katnik, FNP
• Julia Regina Katsuura, MD
• James Herron Katzel, MD
• Lauren Maria Katzel, DMD
• Zoy Kazan, LMFT

• Marriage & Family Therapist in Ukiah, CA
• Providers in Ukiah, 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 Feb 10, 2011; 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.