DEBRA A. KELLY (NPI# 1003278797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003278797 |
| Entity Type | Individual |
| Full Name | DEBRA A. KELLY |
| Credential | MFT |
| Practice Address |
10065 Old Grove Rd Ste 200 San Diego CA 92131-1664 |
| Mailing Address |
29122 Rancho Viejo Rd Ste 206 San Juan Capistrano CA 92675-1039 |
| Practice Telephone | 8584448823 |
| Practice Fax Number | 8584448827 |
| Mailing Telephone | 8584448823 |
| Mailing Fax Number | 8584448827 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 35691 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275065237 | Debra Kelly | Occupational Therapist | 3619 Pembrook Dr, Sarasota, FL 34239-6708 | 2017-03-29 |
| 1023442886 | Debra A Kelly | Licensed Practical Nurse | 222 N Little Tor Rd, New City, NY 10956-2616 | 2013-08-29 |
| 1093078867 | Debra J Kelly | Counselor | 114 Sotoyome St, Santa Rosa, CA 95405-4804 | 2012-06-18 |
| 1861617946 | Debra A Kelly | Occupational Therapist | 3219 Knollwood Cir, Geneva, IL 60134-4631 | 2007-04-16 |
| 1154898641 | Debra Eugenia Kelly | Peer Specialist | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2018-11-01 |
| 1346627403 | Debra Kelly | Speech-Language Pathologist | 202 W 3rd St, Louisville, NE 68037-7089 | 2015-04-28 |
| 1275978116 | Debra J. Kelly | Registered Nurse | 30 Elm Ave, Hyannis, MA 02601-5547 | 2013-05-06 |
| 1376746909 | Debra Kelly | Radiologic Technologist | 665 Winter St Se, Salem, OR 97301-3919 | 2007-06-10 |
| 1730258104 | Debra A. Kelly | Social Worker | 160 Medical Cir, West Columbia, SC 29169-3656 | 2006-11-07 |
| 1386678464 | Debra A Kelly | Nurse Anesthetist, Certified Registered | 6701 N Charles St, Towson, MD 21204-6808 | 2006-07-11 |
| Street Address |
10065 OLD GROVE RD STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92131-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760558324 | Marisa G. Zens | Psychologist | 10065 Old Grove Rd Ste 200, San Diego, CA 92131-1664 | 2006-11-27 |
| 1063940419 | Wasem Staneksay | Behavior Technician | 10065 Old Grove Rd Ste 200, San Diego, CA 92131-1664 | 2017-05-30 |
| 1093240251 | Natalia Hernandez | Behavior Technician | 10065 Old Grove Rd Ste 200, San Diego, CA 92131-1664 | 2017-04-25 |
| 1023543550 | Farhiya Mohamud | Behavior Technician | 10065 Old Grove Rd Ste 200, San Diego, CA 92131-1664 | 2017-04-21 |
| 1619414893 | Serena Laws | Behavior Technician | 10065 Old Grove Rd Ste 200, San Diego, CA 92131-1664 | 2017-01-25 |
| 1326483934 | Jennifer C Wendt | Psychologist | 10065 Old Grove Rd Ste 200, San Diego, CA 92131-1664 | 2013-05-08 |
| 1992069249 | Bryant Cashious Silbaugh | Behavioral Analyst | 10065 Old Grove Rd Ste 200, San Diego, CA 92131-1664 | 2012-07-02 |
| 1710258322 | Paola Adelaida Gonzalez | Behavioral Analyst | 10065 Old Grove Rd Ste 200, San Diego, CA 92131-1664 | 2012-01-13 |
| 1952548463 | Regina Veprin | Speech-Language Pathologist | 10065 Old Grove Rd Ste 200, San Diego, CA 92131-1664 | 2009-01-21 |
| 1578609822 | Kathryn Marie Pedgrift | Counselor | 10065 Old Grove Rd Ste 200, San Diego, CA 92131-1664 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609416965 | Susan Cannon | Behavior Technician | 10680 Treena Street Suite 170, San Diego, CA 92131 | 2020-01-14 |
| 1265929442 | Lydia Besterfeldt | Registered Nurse | 9967 Mesa Madera Dr, San Diego, CA 92131 | 2018-04-13 |
| 1235649690 | Mac Dental Corporation | Oral & Maxillofacial Surgery | 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 | 2017-10-11 |
| 1679019087 | Karyn Rose Giaquinto Fistonich | Assistant Behavior Analyst | 10060 Old Grove Road, San Diego, CA 92131 | 2017-01-09 |
| 1710439559 | Fred Finch Youth Center Cares | Psychologist | 10174 Old Grove Road, Sutie 100, San Diego, CA 92131 | 2016-10-27 |
| 1346647153 | Neurosound, Inc. | Specialist | 10755 Scripps Poway Parkway, Suite 581, San Diego, CA 92131 | 2014-11-21 |
| 1679985329 | Catherine Margaret Myers | Counselor | 10065 Old Grove Road, Suite 200, San Diego, CA 92131 | 2014-05-29 |
| 1225399512 | Sarah Merrill | Family Medicine | 9909 Mira Mesa Blvd Ste 200, San Diego, CA 92131 | 2012-06-03 |
| 1386964997 | Nicole Jacaruso Skinner | Physical Therapist | 10555 Pine Falls Ct, San Diego, CA 92131 | 2010-06-04 |
| 1316272636 | David Paul Anderson | Chiropractor | 10585 Scripps Poway Parkway, #c, San Diego, CA 92131 | 2009-10-05 |
| Find all providers in zip 92131 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1154921252 | Rayna Milner | Marriage & Family Therapist | 9308 Babauta Rd Apt 61, San Diego, CA 92129-4922 | 2020-10-28 |
| 1114525995 | Bethany Minick | Marriage & Family Therapist | 940 56th St, San Diego, CA 92114-1714 | 2020-10-13 |
| 1477160877 | Lucy Zhang | Marriage & Family Therapist | 6363 Beadnell Way Apt 249, San Diego, CA 92117-4164 | 2020-09-29 |
| 1679189161 | Lucy Wallace | Marriage & Family Therapist | 1265 Trieste Dr, San Diego, CA 92107-3957 | 2020-09-20 |
| 1871107417 | Giselle Romo | Marriage & Family Therapist | 3378 Redwood St, San Diego, CA 92104-4763 | 2020-09-01 |
| 1245849116 | Erica Ovington | Marriage & Family Therapist | 995 Gateway Center Way Ste 208, San Diego, CA 92102-4544 | 2020-07-27 |
| 1164048955 | Kristina Kalaya Clancy | Marriage & Family Therapist | 2333 1st Ave Ste 203, San Diego, CA 92101-1540 | 2020-06-17 |
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1245854983 | Rebecca Braunstein | Marriage & Family Therapist | 11342 Westonhill Dr, San Diego, CA 92126-1449 | 2020-05-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.