KELLY IRENE FITZGERALD (NPI# 1417201641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417201641 |
| Entity Type | Individual |
| Full Name | KELLY IRENE FITZGERALD |
| Credential | MFTI |
| Practice Address |
1735 Mission St San Francisco CA 94103-2417 |
| Practice Telephone | 4152261775 |
| Mailing Telephone | 4152261775 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMF66730 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518502228 | Kelly Fitzgerald | Occupational Therapist | 1100 Sherwood Park Dr Ne Ste 220, Gainesville, GA 30501-3426 | 2019-11-18 |
| 1730565581 | Kelly Fitzgerald | Specialist | 4 Arlington Ave, Saint James, NY 11780-2802 | 2015-08-04 |
| 1114271178 | Kelly Ann Fitzgerald | Physical Therapist | 2150 La Dawn Lane Nw, Atlanta, GA 30318 | 2012-10-30 |
| 1861755613 | Kelly Rose Fitzgerald | Occupational Therapist | 2110 Ben Craig Dr Ste 300, Charlotte, NC 28262-2302 | 2012-06-18 |
| 1659804557 | Kelly Nicole Fitzgerald | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave Rm M-987, San Francisco, CA 94143-2204 | 2017-04-06 |
| 1477909471 | Kelly Fitzgerald | Student in an Organized Health Care Education/Training Program | 1275 York Ave, New York, NY 10065 | 2016-05-09 |
| 1508260613 | Kelly Fitzgerald | Occupational Therapist | 484 Main St, Worcester, MA 01608-1893 | 2014-10-17 |
| 1184025967 | Kelly Fitzgerald | Counselor | 545 Westminster St, Fitchburg, MA 01420-4727 | 2014-09-11 |
| 1801133616 | Kelly Fitzgerald | Specialist | 1000 Eddy Street, Providence, RI 02905 | 2013-01-14 |
| 1346516689 | Kelly M Fitzgerald | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2012-03-30 |
| Street Address |
1735 MISSION ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275599052 | Ako A Jacintho | Family Medicine | 1735 Mission St, San Francisco, CA 94103-2417 | 2006-04-21 |
| 1740894179 | Catherine Grace Gilbert | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2020-09-02 |
| 1417569674 | Ilse Ruby Roques Juarez | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2020-08-19 |
| 1427676642 | Ella Garfield | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2020-07-14 |
| 1578197315 | Robert Andujo | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2020-03-02 |
| 1801428933 | Carly Stock | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2020-02-06 |
| 1114558160 | Ian Winston Clark-johnson | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2020-01-29 |
| 1669018271 | Seung Yun Shin | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2019-11-19 |
| 1003469784 | Stephanie Chiri | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2019-07-22 |
| 1528521820 | Sophia Lin Harrison-wong | Counselor | 1735 Mission St, San Francisco, CA 94103-2417 | 2019-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
| 1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
| 1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
| 1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
| 1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
| 1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
| 1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
| Find all providers in zip 94103 | ||||
| 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 |
|---|---|---|---|---|
| 1043819329 | Justin Leigh Schreiner | Marriage & Family Therapist | 2140 Pierce St, San Francisco, CA 94115-2214 | 2020-10-19 |
| 1295333904 | Kelly Kiyomi Pong-der | Marriage & Family Therapist | 679 18th Ave Apt A, San Francisco, CA 94121-3822 | 2020-10-14 |
| 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 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
Please comment or provide details below to improve the information on KELLY IRENE FITZGERALD.
| 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.