KELLY KAITSON PSYCHOTHERAPY
NPI 1245923853
Clinic/Center - Adult Mental Health in San Marcos, CA

Active since May 30, 2023
100 E SAN MARCOS BLVD STE 400, SAN MARCOS, CA 92069(619) 955-2291 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 28, 2023, May 30, 2023 (2 updates tracked since 2023).

About Kelly Kaitson Psychotherapy NPPES

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

KELLY KAITSON PSYCHOTHERAPY (NPI 1245923853) is a healthcare organization registered as an adult mental health in San Marcos, California and active in the NPI registry since May 2023. The organization lists Kelly Kaitson, President, as its authorized official.

NPPES Registry Identity

NPI1245923853
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameKELLY KAITSON PSYCHOTHERAPY INC.
Location Address100 E SAN MARCOS BLVD STE 400San Marcos, CA 92069-2988
Mailing Address1937 Twilight GlnEscondido, CA 92026-5014 · (760) 415-0085
Organization SubpartNo
Authorized OfficialKelly KaitsonPresident · (760) 415-0085
Enumeration DateMay 30, 2023
Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1245923853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
100 E SAN MARCOS BLVD STE 400, San Marcos, CA 92069

Other Names 1

Doing Business AsKelly Kaitson Psychotherapy

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Kaitson Psychotherapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly Kaitson Psychotherapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1447764147
1582 W SAN MARCOS BLVD STE 105
San Marcos, CA 92078
(760) 415-0085
✔ PECOS✔ Accepts Medicare2.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kelly Kaitson Psychotherapy Inc.'s NPI number?

The NPI number for Kelly Kaitson Psychotherapy Inc. is 1245923853. It was assigned to this organization in the NPPES registry on May 30, 2023. The provider is doing business as Kelly Kaitson Psychotherapy.

Where is Kelly Kaitson Psychotherapy Inc. located?

Kelly Kaitson Psychotherapy Inc. is located at 100 E San Marcos Blvd Ste 400, San Marcos, CA 92069. The listed phone number is (619) 955-2291.

What is Kelly Kaitson Psychotherapy Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Kelly Kaitson Psychotherapy Inc. enrolled in Medicare?

Yes. Kelly Kaitson Psychotherapy Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly Kaitson Psychotherapy Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kelly Kaitson Psychotherapy Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Kaitson Psychotherapy Inc. was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.