Mrs. Kelly Kiyomi Pong-der
Marriage & Family Therapist

Address: 679 18th Ave Apt A, San Francisco, CA 94121-3822
Phone: 4159922318

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).

Provider Overview

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

Taxonomy Codes

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

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
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
1053925404 Alison Suzette Poff Marriage & Family Therapist 245 11th St Ste 1, San Francisco, CA 94103-3732 2020-09-02
1154935930 Jasmin Paula Littlefield Marriage & Family Therapist 555 Cole St Ste 6, San Francisco, CA 94117-2860 2020-08-31
1619589447 Rima Sueishi Miyagawa Marriage & Family Therapist 447 Sutter St Ste 429, San Francisco, CA 94108-4630 2020-08-21
1720698632 Marilyn R Scholze Marriage & Family Therapist 3563 Mission St, San Francisco, CA 94110-5434 2020-08-05
Find all providers in SAN FRANCISCO

Office Location

Street Address 679 18TH AVE APT A
City SAN FRANCISCO
State CA
Zip Code 94121-3822

Providers in the same zip code

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

Competitor

Search similar providers

City SAN FRANCISCO
Zip Code 94121

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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.