KELLY MCCANN (NPI# 1205210945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205210945 |
| Entity Type | Individual |
| Full Name | KELLY MCCANN |
| Credential | M.A., MFT |
| Practice Address |
2721 East Pacific Coast Highway Suite 209 Corona Del Mar CA 92625 |
| Practice Telephone | 9493852609 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 86054 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104360585 | Kelly Mccann | Occupational Therapist | 60 Oakwood Dr, Chapel Hill, NC 27517-5652 | 2016-12-05 |
| 1376901504 | Kelly Mccann | Licensed Practical Nurse | 18 Ames St, Mount Vernon, OH 43050-4610 | 2016-02-02 |
| 1770923203 | Kelly Finch Mccann | Optometrist | 216 Mall Blvd, Suite 100, Lasikplus, King of Prussia, PA 19406 | 2013-06-28 |
| 1336155381 | Kelly Kathlyn Mccann | Internal Medicine | 1831 Orange Ave Ste C, Costa Mesa, CA 92627-2839 | 2006-07-31 |
| 1437422052 | Kelly D Mccann | Psychologist | 97 Main St, Lancaster, NH 03584-3063 | 2012-02-13 |
| 1942599915 | Kelly Elizabeth Mccann | Internal Medicine | 2336 Santa Monica Blvd Ste 304, Santa Monica, CA 90404-2067 | 2011-03-30 |
| 1376501445 | Kelly Mccann | Physical Therapist | 13336 Industrial Rd, Suite 105, Omaha, NE 68137-1124 | 2006-05-01 |
| Street Address |
2721 EAST PACIFIC COAST HIGHWAY SUITE 209 |
| City | CORONA DEL MAR |
| State | CA |
| Zip Code | 92625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192041 | Lisa Menaker Quinn | Marriage & Family Therapist | 2345 E. Coast Highway, Suite D, Corona Del Mar, CA 92625 | 2018-08-01 |
| 1831501113 | Bert Shepley | Marriage & Family Therapist | 1111 Bayside Drive, Suite 212, Corona Del Mar, CA 92625 | 2014-05-21 |
| 1295157741 | Jamie Young | Marriage & Family Therapist | 505 Larkpur Ave, Corona Del Mar, CA 92625 | 2014-01-16 |
| 1225321185 | Miramar Health Inc | Substance Abuse Rehabilitation Facility | 435 Dahlia Avenue, Newport Beach, CA 92625 | 2011-05-25 |
| 1972745362 | Andrew W Spath | Dentist | 2121 E Coast Hwy Ste 290, Corona Del Mar, CA 92625 | 2009-03-31 |
| 1790934743 | James Hair | Dentist | 3800 E. Pacific Coast Hwy., #2, Corona Del Mar, CA 92625 | 2008-09-15 |
| 1912173006 | Kevin J Taylor Dds Inc | Dentist | 2716 East Coast Hwy, Corona Del Mar, CA 92625 | 2008-05-08 |
| 1306048939 | Stephen Douglas Hutchins | Chiropractor | 2101 E Coast Hwy, Corona Del Mar, CA 92625 | 2007-06-05 |
| 1619094893 | Burr Vonmaur | Plastic Surgery | 1101 Bayside Drive, Suite 100, Corona Del Mar, CA 92625 | 2007-03-23 |
| 1952481806 | Rio Hondo Mental Health | Case Management | 428 Carnation Ave, Corona Del Mar, CA 92625 | 2006-10-16 |
| Find all providers in zip 92625 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790041 | Maxine Beth Cohen | Marriage & Family Therapist | 517 Larkspur Ave, Corona Del Mar, CA 92625-2317 | 2020-04-27 |
| 1083192041 | Lisa Menaker Quinn | Marriage & Family Therapist | 2345 E. Coast Highway, Suite D, Corona Del Mar, CA 92625 | 2018-08-01 |
| 1235651597 | Ashley Waasted | Marriage & Family Therapist | 1550 Bayside Dr Ste 6, Corona Del Mar, CA 92625-1711 | 2017-07-07 |
| 1831501113 | Bert Shepley | Marriage & Family Therapist | 1111 Bayside Drive, Suite 212, Corona Del Mar, CA 92625 | 2014-05-21 |
| 1295157741 | Jamie Young | Marriage & Family Therapist | 505 Larkpur Ave, Corona Del Mar, CA 92625 | 2014-01-16 |
| 1780692855 | James Jude Sanders | Marriage & Family Therapist | 2721 E Coast Hwy Ste 209, Corona Del Mar, CA 92625-2131 | 2006-08-04 |
| 1881255537 | Sophie Kubichek | Marriage & Family Therapist | 2721 E Coast Hwy Ste 209, Corona Del Mar, CA 92625-2131 | 2019-06-24 |
| 1467920207 | Sandra Fontana | Marriage & Family Therapist | 2721 E Coast Hwy Ste 209, Corona Del Mar, CA 92625-2131 | 2018-11-09 |
| 1730657057 | Christopher Jimenez | Marriage & Family Therapist | 2721 E Coast Hwy Ste 209, Corona Del Mar, CA 92625-2131 | 2018-11-05 |
| 1295275204 | Jarfa Wabs | Marriage & Family Therapist | 2721 E Coast Hwy Ste 209, Corona Del Mar, CA 92625-2131 | 2017-02-24 |
| Find all providers in CORONA DEL MAR | ||||
| City | CORONA DEL MAR |
| Zip Code | 92625 |
Please comment or provide details below to improve the information on KELLY MCCANN.
| 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.