SKT THERAPY INC (NPI# 1629559802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629559802 |
| Entity Type | Organization |
| Organization Name | SKT THERAPY INC |
| Other Organization Name | SKT THERAPY |
| Practice Address |
765 N Main St Ste 152 Corona CA 92880 |
| Mailing Address |
387 Magnolia Ave Ste 103-231 Corona CA 92879-3307 |
| Practice Telephone | 8444444520 |
| Mailing Telephone | 6502520300 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | SHANNON KLOSAK (OWNER) |
| Authorized Official Telephone | 6502520300 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 93637 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| SKT THERAPY | Doing Business As Name - Organization |
| Street Address |
765 N MAIN ST STE 152 |
| City | CORONA |
| State | CA |
| Zip Code | 92880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1184274029 | Rocquel Mack | Licensed Vocational Nurse | 2131 Shelley Circle, Corona, CA 92880 | 2019-09-12 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
| 1114441193 | Yen and Dimitri Dental Corporation | Dentist | 13334 Limonite Ave, Suite 120, Eastvale, CA 92880 | 2017-08-01 |
| Find all providers in zip 92880 | ||||
| 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 |
|---|---|---|---|---|
| 1679121842 | Israel Gonzalez Cruz | Marriage & Family Therapist | 10324 Corona Ave, Corona, NY 11368-3177 | 2019-08-30 |
| 1427551498 | Maria Del Carmen Adams | Marriage & Family Therapist | 355 E Rincon St Ste 211, Corona, CA 92879-1370 | 2018-03-15 |
| 1265974992 | Teresa Arciero | Marriage & Family Therapist | 2545 Quiet Meadow Cir, Corona, CA 92881-6610 | 2016-11-11 |
| 1669802922 | Megan Mary Pedroza | Marriage & Family Therapist | 2800 Keystone Cir, Corona, CA 92882-5989 | 2013-11-22 |
| 1366872889 | Stefanie Marie Bolio | Marriage & Family Therapist | 1451 Rimpau Ave Ste 212, Corona, CA 92879-7522 | 2013-11-19 |
| 1225465347 | Gina G Cross | Marriage & Family Therapist | 1185 Millbrook Rd, Corona, CA 92882-5851 | 2013-10-03 |
| 1376881706 | Noelle Angela Wingate | Marriage & Family Therapist | 1451 Rimpau Ave Ste 209, Corona, CA 92879-7522 | 2013-01-18 |
| 1376822999 | Stacie F Jablon | Marriage & Family Therapist | 2909 Griffin Cir, Corona, CA 92879-6100 | 2011-08-13 |
| 1528347648 | Shrinidhi S Iyengar | Marriage & Family Therapist | 3352 Deaver Dr, Corona, CA 92882-8900 | 2011-08-07 |
| 1720303183 | Charlene Frances Ornelas | Marriage & Family Therapist | 1128 E. Sixth St. #8, Corona, CA 92879-5704 | 2010-03-29 |
| Find all providers in CORONA | ||||
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| 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.