KELLY KIYOMI PONG-DER
Marriage & Family Therapist

Address: 3638 Lawton St, San Francisco, CA 94122-3008

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).

Provider Overview

Nation Provider ID (NPI) 1295333904
Entity Type Individual
Full Name MRS. KELLY KIYOMI PONG-DER
Gender Female
Credential LMFT
Practice Address 3638 Lawton St
San Francisco
CA 94122-3008
Practice Telephone 4158798215
Mailing Address Po Box 210766
San Francisco
CA 94121-0766
Mailing Telephone 4159922318
Certification Date 2021-01-07
Enumeration Date 2020-10-14
Last Update Date 2021-01-07
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist LMFT119595 CA Behavioral Health & Social Service Providers

Office Location

Street Address 3638 LAWTON ST
City SAN FRANCISCO
State CA
Zip Code 94122-3008

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1467057190 Neha Milind Tamhane Dentist · Periodontics 434 Judah Street, San Francisco, CA 94122 2020-12-01
1780204347 Christina Michelle Catalano Physical Therapist 764 18th Ave, East Brunswick, NJ 94122 2020-04-23
1528536877 Marnie Kagan Weston Psychologist · Clinical 1300 25th Avenue, Suite 100, San Francisco, CA 94122 2018-11-05
1649785510 Maria Elena Williams Registered Nurse 1755 27th Ave., San Francisco, CA 94122 2017-12-13
1831608264 Robert Kim Ophthalmology · Retina Specialist 95 Kirkham Avenue, 201, Box 0730, San Francisco, CA 94122 2017-09-28
1558889378 Brittyn Coleman Nutrition · Brittyn Howard Nutritional Counseling Dietitian, Registered 1410 Funston Ave # 1, San Francisco, CA 94122 2017-08-31
1295251635 Mary Bernadette Flynn Doula 1738 23rd Ave, San Francisco, CA 94122 2017-08-17
1740710524 Kimberly Sui Fan Fung Registered Nurse 1279 22nd Ave, San Francisco, CA 94122 2017-06-14
1902335417 Nadia Fakhoury Chiropractor 4027 Judah St, San Francisco, CA 94122 2017-06-08
1124567383 Demi Pham Dentist · Pediatric Dentistry 2040 Judah St, San Francisco, CA 94122 2017-02-21
Find all providers in zip 94122

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316539000 Fiona Walsh Dinan 2852 25th St, San Francisco, CA 94110-4262 2021-02-04
1902497175 Erika Cristina Wright-Garcia · Erika Cristina Wright 311 California Street, San Francisco, CA 94104 2021-02-01
1215523410 Cynthia B Rogers · Cynthia Rogers Baggott 25 Bergen Aly, San Francisco, CA 94109-1219 2020-12-12
1730785544 Vanessa Gamache 25 Alma St, San Francisco, CA 94117-4307 2020-12-07
1467058503 Genevieve Walker 507 Cole St, San Francisco, CA 94117-2805 2020-12-04
1366046153 Patricia M Murray · Patty M Murray 576 Precita Ave, San Francisco, CA 94110-4720 2020-11-23
1043819329 Justin Leigh Schreiner 2140 Pierce St, San Francisco, CA 94115-2214 2020-10-19
1700484029 Melissa Mary Liptak 2901 Webster St, San Francisco, CA 94123-4005 2020-10-09
1750988390 Niki Nicole Sujata Khanna · Niki Khanna 1699 Market St Apt 622, San Francisco, CA 94103-1327 2020-10-07
1821604976 Helen Kalanithi 584 Castro St Unit 3077, San Francisco, CA 94114-2512 2020-09-23
Find all providers in SAN FRANCISCO

Competitor

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City SAN FRANCISCO
Zip Code 94122

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Dataset Information

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.