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KETRYN CORNELL
NPI 1114579018
Marriage & Family Therapist in San Leandro, CA

Active since July 10, 2019
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577(510) 352-9200 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2024, Feb 22, 2021, Jul 10, 2019 (3 updates tracked since 2019).

About Ketryn Cornell NPPES

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

KETRYN CORNELL (NPI 1114579018) is an individual marriage & family therapist in San Leandro, California, licensed in California (LMFT127345) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1114579018
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKETRYN CORNELL
Location Address400 ESTUDILLO AVE STE 100San Leandro, CA 94577-4962
Mailing Address400 Estudillo Ave Ste 100San Leandro, CA 94577-4962 · (510) 352-9200
Phone(510) 352-9200
Sole ProprietorNo
Enumeration DateJuly 10, 2019
Last NPPES UpdateJuly 12, 20243 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1114579018 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 · LMFT127345
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.

400 ESTUDILLO AVE STE 100, San Leandro, CA 94577
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Other Providers at the Same Location NPPES 20

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

MAREN ELIZABETH TROTTER ASW
Counselor (Mental Health)
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 352-9200
ALEXIS ELYSE SANCHEZ
Social Worker (Clinical)
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
HAO-YUN CHU
Student in an Organized Health Care Education/Training Program
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
MS. JENNIFER RAE CASTELLO MSW, LCSW
Social Worker (Clinical)
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
CINDY TERESA GUTIERREZ
Community Health Worker
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
EMMA MARTINEZ
Student in an Organized Health Care Education/Training Program
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
MANDY RENE RIVAS-CROSS ASW 123267
Social Worker
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (408) 807-6787
IVVETTE MORA ESTRADA
Case Manager/Care Coordinator
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548

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 Ketryn Cornell's NPI number?

The NPI number for Ketryn Cornell is 1114579018. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Ketryn Cornell located?

Ketryn Cornell practices at 400 Estudillo Ave Ste 100, San Leandro, CA 94577. The listed phone number is (510) 352-9200.

What is Ketryn Cornell's specialty?

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

When was this NPI record last updated?

The NPPES record for Ketryn Cornell was last updated on July 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.