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 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 |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT119595 | CA | Behavioral Health & Social Service Providers |
| Street Address | 3638 LAWTON ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94122-3008 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
| City | SAN FRANCISCO |
| Zip Code | 94122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043363914 | Sang Pong Yi · Steve Sang-Pong Yi | Anesthesiology | 1229 Madison St., Suite 1440, Seattle, WA 98104-3538 | 2007-01-22 |
| 1003159526 | Tiffany Pong Ross · Tiffany Wing-Gi Pong | Physician Assistant | 400 Parnassus Ave, 3rd Floor, Suite 311, San Francisco, CA 94143-2202 | 2013-04-03 |
| 1033473111 | Joyce Kiyomi Jung · Kiyomi Jung | Counselor · Addiction (Substance Use Disorder) | 3837 Telegraph Ave, Oakland, CA 94609-2419 | 2012-07-03 |
| 1568533313 | Alice Louise Pong · Alice Pong Odonnell | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2006-11-13 |
| 1316937535 | Kaseng Derek Chan-Pong · K Derek Chan-Pong | Internal Medicine · Gastroenterology | 1223 Gateway Dr Ste B, Melbourne, FL 32901-2607 | 2005-10-27 |
| 1942435441 | Dawn Kiyomi Kuriyama · Dawn Kiyomi Kuriyama | Family Medicine | 66125 Kamehameha Hwy, Haleiwa, HI 96712 | 2009-05-27 |
| 1558764050 | Kiyomi Cho | Dentist | 100 High St, #1, Westwood, MA 02090-1100 | 2014-09-29 |
| 1760644264 | Kiyomi Oshiro | Nurse Practitioner · Family | 2828 Paa St, Honolulu, HI 96819-4405 | 2008-06-26 |
| 1851872741 | Kiyomi Kimble | Midwife | 966 W 21st St, Chicago, IL 60608-4511 | 2018-08-28 |
| 1730544727 | Kiyomi Morita | Student in an Organized Health Care Education/Training Program | 7-3-1 Hongo, Bunkyo-Ku, TOKYO 1138655 | 2015-12-18 |
Please provide details on KELLY KIYOMI PONG-DER by submitting the form below, or post on facebook comments.
Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.
| 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.