Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Elaine-Small Custodio

Individual provider Marriage & Family Therapist · NPI 1245943711

Kathleen Elaine-Small Custodio is a Marriage & Family Therapist in Newport Beach, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

1800 Park Newport Apt 206
Newport Beach, CA 92660-5040
Phone: (714) 478-7077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X (CA)

Record details

NPI number1245943711
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 29, 2022
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Other providers in Newport Beach