Provider Demographics
NPI:1457902389
Name:SCHEID, KIRI LEILANI (AMFT)
Entity Type:Individual
Prefix:
First Name:KIRI
Middle Name:LEILANI
Last Name:SCHEID
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:KIRI
Other - Middle Name:LEILANI
Other - Last Name:FISCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4265 MESA VISTA WAY UNIT 4
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-7490
Mailing Address - Country:US
Mailing Address - Phone:406-451-5017
Mailing Address - Fax:
Practice Address - Street 1:200 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-5424
Practice Address - Country:US
Practice Address - Phone:760-726-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-23
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARBT-19-99644106S00000X
CAAMFT137287106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician