Mrs. Kelly Kiyomi Pong-der (NPI# 1295333904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1295333904 |
| Entity Type | Individual |
| Full Name | Mrs. Kelly Kiyomi Pong-der |
| Credential | LMFT |
| Gender | Female |
| Practice Address |
679 18th Ave Apt A San Francisco CA 94121-3822 |
| Practice Telephone | 4159922318 |
| Mailing Address |
679 18th Ave Apt A San Francisco CA 94121-3822 |
| Mailing Telephone | 4159922318 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | LMFT119595 | CA |
| 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 |
|---|---|---|---|---|
| 1215523410 | Cynthia B Rogers | Marriage & Family Therapist | 25 Bergen Aly, San Francisco, CA 94109-1219 | 2020-12-12 |
| 1730785544 | Vanessa Gamache | Marriage & Family Therapist | 25 Alma St, San Francisco, CA 94117-4307 | 2020-12-07 |
| 1467058503 | Genevieve Walker | Marriage & Family Therapist | 507 Cole St, San Francisco, CA 94117-2805 | 2020-12-04 |
| 1366046153 | Patricia M Murray | Marriage & Family Therapist | 576 Precita Ave, San Francisco, CA 94110-4720 | 2020-11-23 |
| 1043819329 | Justin Leigh Schreiner | Marriage & Family Therapist | 2140 Pierce St, San Francisco, CA 94115-2214 | 2020-10-19 |
| 1639777543 | Graham Gallivan | Marriage & Family Therapist | 1200 Gough St Unit 4c, San Francisco, CA 94109-6614 | 2020-10-13 |
| 1700484029 | Melissa Mary Liptak | Marriage & Family Therapist | 2901 Webster St, San Francisco, CA 94123-4005 | 2020-10-09 |
| 1750988390 | Niki Nicole Sujata Khanna | Marriage & Family Therapist | 1699 Market St Apt 622, San Francisco, CA 94103-1327 | 2020-10-07 |
| 1821604976 | Helen Kalanithi | Marriage & Family Therapist | 584 Castro St Unit 3077, San Francisco, CA 94114-2512 | 2020-09-23 |
| 1770199648 | David Ford Peck Jr. | Marriage & Family Therapist | 1738 Union St Ste 302, San Francisco, CA 94123-4425 | 2020-09-16 |
| Find all providers in SAN FRANCISCO | ||||
| Street Address |
679 18TH AVE APT A |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94121-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316443815 | Joanne Mott | Community Health Worker | Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1851897359 | Jeffrey Cheng | Community Health Worker | Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1245739283 | George Howard Herzog | Clinical Nurse Specialist | 4150 Clement St G1-111b1, San Francisco, CA 94121 | 2018-02-05 |
| 1063931228 | Dianna Welsh | Marriage & Family Therapist | 750 33rd Ave., San Francisco, CA 94121 | 2017-09-19 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| 1184027229 | Laura Weissberger | Social Worker | 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 | 2014-10-03 |
| 1548676901 | Martha J Ignaszewski | Psychiatry & Neurology | 4150 Clement St Rm 19, San Francisco, CA 94121 | 2014-07-07 |
| 1912338195 | Katie Francesconi Peters | Physical Therapist | 1921 Lake St Apt 1, San Francisco, CA 94121 | 2013-12-12 |
| 1649601717 | William Hua | Psychologist | 4150 Clement St (116b), San Francisco, CA 94121 | 2013-11-27 |
| 1396182721 | Gregory Lariviere Judson | Student in an Organized Health Care Education/Training Program | 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 | 2013-05-24 |
| Find all providers in zip 94121 | ||||
| City | SAN FRANCISCO |
| Zip Code | 94121 |
Please comment or provide details below to improve the information on Mrs. Kelly Kiyomi Pong-der.
| 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.