NPIMap

Organization Active NPI

Parent Child Clinic Inc

Doing business as Parent Child Therapy Clinic Inc

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1932608841
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
42983 Issued in CA
Legal business name
PARENT CHILD CLINIC INC
Doing business as
Parent Child Therapy Clinic Inc
Practice address
260 Maple CT Ste 265
Ventura, CA 93003-3572
Phone
(805) 625-2244
Fax
(844) 528-1796
NPI assigned
Feb 6, 2018
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Ms. Karen Stuart Kelly, LMFT
Title
Owner
Phone
(805) 625-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 42983 CA Primary

Addresses

Primary practice location

260 Maple CT Ste 265
Ventura, CA 93003-3572

Mailing address

260 Maple CT Ste 265
Ventura, CA 93003-3572
Phone (805) 625-2244

Other names 1

  • Parent Child Therapy Clinic Inc Doing business as

National Provider Directory

National Provider Directory

Locations

260 Maple Ct
Ste 265
Ventura, CA 93003
Phone (805) 625-2244

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1932608841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MAPLE CT STE 265",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033572",
            "telephone_number": "805-625-2244",
            "fax_number": "844-528-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MAPLE CT STE 265",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033572",
            "telephone_number": "805-625-2244",
            "fax_number": "844-528-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT CHILD CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-625-2244",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parent Child Therapy Clinic Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.