Individual provider Active NPI

Deborah Lynn Kitay, LMFT

  • Marriage & Family Therapist
  • El Segundo, CA
National Provider Identifier
1972971430
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105063 Issued in CA
Practice address
512 Main St Ste 2
El Segundo, CA 90245-3065
Phone
(310) 400-6723
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CA
Marriage & Family Therapist 106H00000X 105063 CA Primary

Addresses

Primary practice location

512 Main St Ste 2
El Segundo, CA 90245-3065

Mailing address

512 Main St Ste 2
El Segundo, CA 90245-3065
Phone (310) 400-6723

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
I20240213003472 CA Practitioner - Mental Health Counselor 0446693832 Practice locations: El Segundo, CA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

512 Main St
Suite 2
El Segundo, CA 90245-3065
Phone (805) 203-3969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1972971430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 MAIN ST STE 2",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453065",
            "telephone_number": "310-400-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MAIN ST STE 2",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453065",
            "telephone_number": "310-400-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAY",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.