MS. KRISTIN TAI CLARK (NPI# 1275993339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275993339 |
| Entity Type | Individual |
| Full Name | MS. KRISTIN TAI CLARK |
| Practice Address |
5150 E Pacific Coast Hwy Suite 100 Long Beach CA 90804 |
| Mailing Address |
5150 E Pacific Coast Hwy Suite 100 Long Beach CA 90804-3312 |
| Practice Telephone | 5624907600 |
| Practice Fax Number | 5624907601 |
| Mailing Telephone | 5624907600 |
| Mailing Fax Number | 5624907601 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT112146 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619391059 | Kristin Clark | Registered Nurse | 1229 S. Wheeling Way, Aurora, CO 80012 | 2014-02-05 |
| 1336466283 | Kristin Dumboski Clark | Dentist | 5401 John F Kennedy Blvd, Suite H, North Little Rock, AR 72116-6756 | 2010-04-30 |
| 1164745980 | Kristin Clark | Acupuncturist | 424 Wayne Road, Rochelle, IL 61068-9063 | 2010-03-08 |
| 1932177508 | Kristin Clark | Family Medicine | 5018 Dorsey Hall Dr, Suite 104, Ellicott City, MD 21042-7855 | 2006-03-09 |
| 1982255790 | Kristin Ann Clark | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2019-09-23 |
| 1982252011 | Kristin Michelle Clark | Licensed Practical Nurse | 997 Saint Paul St, Rochester, NY 14605-1051 | 2019-09-02 |
| 1285103762 | Kristin C Clark | Radiology Practitioner Assistant | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2018-11-14 |
| 1174918213 | Kristin Clark | Behavioral Analyst | 6 Strathmore Rd, Natick, MA 01760-2419 | 2015-04-06 |
| 1164764585 | Kristin Elise Clark | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2013-03-24 |
| 1407106032 | Kristin Marie Clark | Specialist | 41 Colebrook Dr, Rochester, NY 14617-2211 | 2012-09-11 |
| Street Address |
5150 E PACIFIC COAST HWY SUITE 100 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598739245 | Jean Fromm | Psychologist | 5150 E Pacific Coast Hwy, Ste 200, Long Beach, CA 90804-3399 | 2006-02-16 |
| 1427673250 | Denise Fritts | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-06-08 |
| 1104440924 | Ross Crothers | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-06-08 |
| 1629692454 | Laura Murillo | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-06-08 |
| 1730704578 | Marylu Delgado | Social Worker | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-06-08 |
| 1447872668 | Jennifer Lynn Harris | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-05-11 |
| 1205458437 | Daniella Norena | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-05-11 |
| 1578191169 | Trinity Flores | Social Worker | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-03-30 |
| 1447886197 | Mayra Simental | Social Worker | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-03-13 |
| 1144856824 | Aria Eve Hanna | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| 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 |
|---|---|---|---|---|
| 1427664002 | Christopher Joseph Bauss | Marriage & Family Therapist | 521 Ultimo Ave, Long Beach, CA 90814-2046 | 2020-09-19 |
| 1487268876 | Tiffany Amber Hooton | Marriage & Family Therapist | 4510 E Pacific Coast Hwy Ste 540, Long Beach, CA 90804-6941 | 2020-09-02 |
| 1144845306 | Sara Povey | Marriage & Family Therapist | 1635 E Ocean Blvd Unit 3a, Long Beach, CA 90802-6041 | 2020-06-13 |
| 1649890955 | Lori Lynn Mann | Marriage & Family Therapist | 6695 E Pacific Coast Hwy Ste 250, Long Beach, CA 90803-4256 | 2020-04-16 |
| 1528606191 | Joseph Buchman | Marriage & Family Therapist | 3950 Long Beach Blvd Ste 101, Long Beach, CA 90807-5410 | 2019-12-13 |
| 1952944951 | April Dawn Malden | Marriage & Family Therapist | 3412 N Greenbrier Rd, Long Beach, CA 90808-2515 | 2019-10-22 |
| 1639729817 | Valetta Melanie Kirchner | Marriage & Family Therapist | 1057 Belmont Ave Apt B, Long Beach, CA 90804-4225 | 2019-09-18 |
| 1639727209 | Fairy Shaw | Marriage & Family Therapist | 4700 Clair Del Ave Apt 545, Long Beach, CA 90807-1329 | 2019-08-28 |
| 1184271496 | Aline Inocencio | Marriage & Family Therapist | 555 E Ocean Blvd Ste 638, Long Beach, CA 90802-5077 | 2019-08-21 |
| 1366003600 | Meredith Anne Freijo | Marriage & Family Therapist | 4401 Atlantic Ave Ste 430, Long Beach, CA 90807-2240 | 2019-06-26 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
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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.