DR. KELLYE D MCKINNA (NPI# 1043788136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043788136 |
| Entity Type | Individual |
| Full Name | DR. KELLYE D MCKINNA |
| Credential | PHD |
| Practice Address |
28990 Pacific Coast Hwy Ste 217 Malibu CA 90265-3944 |
| Practice Telephone | 3105898144 |
| Mailing Telephone | 3105898144 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
28990 PACIFIC COAST HWY STE 217 |
| City | MALIBU |
| State | CA |
| Zip Code | 90265-3944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884909 | Montage Recovery Ca LLC | Psychiatric Residential Treatment Facility | 2890 Kana Dume, Malibu, CA 90265 | 2020-09-03 |
| 1912518887 | Oconnor Optometric Inc | Optometrist | 23401 Civic Center Way, Unit 2b, Malibu, CA 90265 | 2020-08-13 |
| 1184234593 | Jessica Gash | Student in an Organized Health Care Education/Training Program | 24420 Tiner Court, Malibu, CA 90265 | 2020-07-31 |
| 1902438393 | Montage Recovery Ca, LLC | Clinic/Center | 2890 Kanan Dume Road, Malibu, CA 90265 | 2020-02-04 |
| 1164909032 | Joseph Turcillo | Internal Medicine | 3065 Malibu Country Dr, Malibu, CA 90265 | 2018-07-24 |
| 1356830657 | Samantha Erin Schlossmann | Clinical Neuropsychologist | 28348 Rey De Copas Lane, Malibu, CA 90265 | 2018-05-02 |
| 1740783653 | Adam Dov Greenberg | Acupuncturist | 5853 Filaree Hts., Malibu, CA 90265 | 2018-03-16 |
| 1225556673 | Jeff Harris, M.d. A Medical Corporation | Pediatrics | 23805 Stuart Ranch Rd. #310, Malibu, CA 90265 | 2017-09-06 |
| 1184177347 | Michael J. Maguire Acupuncturist, Inc. | Acupuncturist | 28990 PCh, Building B Ste 211, Malibu, CA 90265 | 2016-07-25 |
| 1093182198 | Recovery Malibu, Inc. | Substance Abuse Rehabilitation Facility | 20723 Rockcroft Dr., Malibu, CA 90265 | 2015-08-25 |
| Find all providers in zip 90265 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774708 | High Tech High | Counselor | 2861 Womble Rd, San Diego, CA 92106-6025 | 2020-09-14 |
| 1275146979 | Ki Morgan Spurr-gaines | Counselor | 115 1st Ave, Daly City, CA 94014-2643 | 2020-08-24 |
| 1649810029 | Kathleen Patrice Gulley | Counselor | 8413 Honeycomb Way, Sacramento, CA 95828-6660 | 2020-01-13 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1720551328 | Nicole Marie Beilstein | Counselor | 1115 E Hoffer St, Banning, CA 92220-2723 | 2019-01-07 |
| 1477038677 | Oscar Soltero | Counselor | 717 S Oak Knoll Ave, Pasadena, CA 91106-3809 | 2018-10-03 |
| 1649754953 | Kate Sullivan | Counselor | 1440 E Broadway, Glendale, CA 91205-1503 | 2018-09-21 |
| 1548748064 | Jessica H Yang | Counselor | 4931 Caspar St, Union City, CA 94587-5533 | 2018-08-06 |
| 1811475742 | Michelle Tehrani Hartounian | Counselor | 460 Oak St Apt 317, Glendale, CA 91204-1268 | 2018-08-02 |
| 1245724293 | Kay Reinhardt | Counselor | 2665 Clarendon Ave, Huntington Park, CA 90255-4138 | 2018-06-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KELLYE D MCKINNA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.