MRS. KELLY KIYOMI PONG-DER LMFT
NPI 1295333904
Marriage & Family Therapist in San Francisco, CA

Q: What is Kelly Pong-der's NPI number?

The NPI number for Kelly Pong-der is 1295333904. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Q: What is Kelly Pong-der's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Pong-der was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 14, 2020

3638 LAWTON ST, SAN FRANCISCO, CA 94122(415) 879-8215 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2021, Oct 14, 2020 (2 updates tracked since 2020).

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About Mrs. Kelly Kiyomi Pong-der Lmft NPPES

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

MRS. KELLY KIYOMI PONG-DER LMFT (NPI 1295333904) is an individual marriage & family therapist in San Francisco, California, licensed in California (LMFT119595) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1295333904

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. KELLY KIYOMI PONG-DERCredential: LMFT

Location Address3638 LAWTON STSan Francisco, CA 94122-3008

Mailing AddressPo Box 210766San Francisco, CA 94121-0766 · (415) 992-2318

Phone(415) 879-8215

Sole ProprietorYes

Enumeration DateOctober 14, 2020

Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2021

✔ NPI 1295333904 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 · LMFT119595

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.

3638 LAWTON ST, San Francisco, CA 94122

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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 Pong-der's NPI number?

The NPI number for Kelly Pong-der is 1295333904. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Kelly Pong-der located?

Kelly Pong-der practices at 3638 Lawton St, San Francisco, CA 94122. The listed phone number is (415) 879-8215.

What is Kelly Pong-der'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 Kelly Pong-der was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.