Kaithleen Nicole Masa Abastillas
Individual provider Active NPI Marriage & Family Therapist · Fullerton, CA
NPI 1962086199 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1962086199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 2601 E Chapman Ave
Fullerton, CA 92831-3737 - Phone
- (949) 293-6249
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Congruent Lives Inc | Marriage & Family Therapist | Past |
Accepting new patients |
| Alle Herz Psychotherapy, Apc | Marriage & Family Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
2601 E Chapman Ave
Fullerton, CA 92831-3737
Mailing address
11901 176TH St Apt 128
Artesia, CA 90701-4042
Phone (562) 968-9488
Other providers in Fullerton, CA
- Aasp Healthcare LLC
- Lauren Marie Abad
- Valerie Abaniel
- Chizomam Margaret Abanobi
- Arely Abarca
- Daniel Abbott
- Ishraq H Abdalla
- Nivein Ahmed Abdelaziz
- Mohamad Bashar Abdelfattah
- Nevin Shenouda Abdelmalak
All providers in Fullerton, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.