KATHRYN DE BRUIN
NPI 1053699751
Marriage & Family Therapist in San Diego, CA

Active since July 28, 2011Opted out of Medicare · through Jan 1, 2028
10065 OLD GROVE RD, SUITE 102, SAN DIEGO, CA 92131(619) 840-3353(858) 527-0451 Get Directions Write a Review

NPPES record last updated: July 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathryn De Bruin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN DE BRUIN (NPI 1053699751) is an individual marriage & family therapist in San Diego, California, licensed in California (MFT43615) and active in the NPI registry since July 2011. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1053699751
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKATHRYN DE BRUIN
Location Address10065 OLD GROVE RD, SUITE 102San Diego, CA 92131-1664
Mailing Address10065 Old Grove Rd, Suite 102San Diego, CA 92131-1664 · (619) 840-3353 · Fax (858) 527-0451
Fax(858) 527-0451
Sole ProprietorYes
Enumeration DateJuly 28, 2011
NPI 1053699751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFT43615
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.

10065 OLD GROVE RD, San Diego, CA 92131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kathryn De Bruin has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
10065 OLD GROVE RD, SUITE 102
SAN DIEGO, CA 92131
Marriage & Family Therapist
10065 OLD GROVE RD, SUITE 102
SAN DIEGO, CA 92131
Student in an Organized Health Care Education/Training Program
10065 OLD GROVE RD
SAN DIEGO, CA 92131
Psychologist (Clinical)
10065 OLD GROVE RD, SUITE 200
SAN DIEGO, CA 92131
Behavior Analyst
10065 OLD GROVE RD, SUITE 200
SAN DIEGO, CA 92131
Psychologist
10065 OLD GROVE RD, SUITE 101
SAN DIEGO, CA 92131
Community/Behavioral Health
10065 OLD GROVE RD, #200
SAN DIEGO, CA 92131
Marriage & Family Therapist
10065 OLD GROVE RD
SAN DIEGO, CA 92131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn De Bruin's NPI number?

The NPI number for Kathryn De Bruin is 1053699751. It was assigned to this individual provider in the NPPES registry on July 28, 2011.

Where is Kathryn De Bruin located?

Kathryn De Bruin practices at 10065 Old Grove Rd Suite 102, San Diego, CA 92131. The listed phone number is (619) 840-3353.

What is Kathryn De Bruin's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kathryn De Bruin enrolled in Medicare?

No. Kathryn De Bruin has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kathryn De Bruin was last updated on July 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.