Kaila Rose Hattis

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

126526 Issued in CA

Practice address

9015 Murray Ave Ste 100
Gilroy, CA 95020-3617

Phone

(408) 665-4908

Fax

(408) 842-0383

NPI assigned

Jul 14, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kaila Hattis

  dba Pacific Coast Therapy

  • Marriage & Family Therapist
  • Santa Cruz, CA
  • NPI 1245993559
  NPD Authorized official

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932621513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SOQUEL AVE STE I",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622386",
            "telephone_number": "831-332-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 MURRAY AVE STE 100",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203617",
            "telephone_number": "408-665-4908",
            "fax_number": "408-842-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTIS",
        "first_name": "KAILA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "126526",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ganga Devi Harrison
• Najma Hilal Hassan
• Monika Hassler, PA-C
• Elizabeth Hatcher
• Josette Angelique Hatcher
• Catherine Rachel Hausman
• Ann Elise Hawkins, MFTI
• Susan Hayatghaib, LCSW
• HCP Resources, Inc.
• Healing Touch of California Home Health Agency Inc

• Marriage & Family Therapist in Gilroy, CA
• Providers in Gilroy, 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 Jul 21, 2022; 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.