MR. KELLY M KILCOYNE


Address: 205 E 3rd Ave, Suite 207-c, San Mateo, CA 94401-4051
Phone: 6504851512

MR. KELLY M KILCOYNE (NPI# 1568501682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568501682
Entity Type Individual
Full Name MR. KELLY M KILCOYNE
Credential LMFT
Practice Address 205 E 3rd Ave
Suite 207-c
San Mateo
CA 94401-4051
Mailing Address Po Box 1512
San Mateo
CA 94401
Practice Telephone 6504851512
Practice Fax Number 6503425678
Mailing Telephone 6504851512
Mailing Fax Number 6503425678
Enumeration Date 2007-02-05
Last Update Date 2015-03-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist LMFT51065 CA Behavioral Health & Social Service Providers

Other Providers KELLY KILCOYNE

NPI Name Taxonomy Address Enumeration
1467650077 Kelly G Kilcoyne Orthopaedic Surgery 5005 N Piedras St, El Paso, TX 79920-5002 2007-07-05

Office Location

Street Address 205 E 3RD AVE
SUITE 207-C
City SAN MATEO
State CA
Zip Code 94401-4051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760592901 Krysta A Banazek Marriage & Family Therapist 205 E 3rd Ave, Suite 207a, San Mateo, CA 94401-4051 2006-08-30
1609266402 Michelle Busch Potter Marriage & Family Therapist 205 E 3rd Ave, Suite 307c, San Mateo, CA 94401-4051 2015-01-31
1982954061 Kimberly Dawn Rich Marriage & Family Therapist 205 E 3rd Ave, Suite 303, San Mateo, CA 94401-4051 2012-09-14
1942567615 Spring Tide Natural Health Acupuncturist 205 E 3rd Ave, Suite 206, San Mateo, CA 94401-4051 2012-04-18
1144549916 Lisa Lavaysse Psychologist 205 E 3rd Ave, Mezzanine 1-a, San Mateo, CA 94401-4051 2010-05-19
1013150176 Eva K Pang Psychologist 205 E 3rd Ave, San Mateo, CA 94401-4051 2009-04-19
1427290576 Mark Sapaen Watan Acupuncturist 205 E 3rd Ave, Suite 410, San Mateo, CA 94401-4051 2009-04-02
1295982254 Terri Lyn Zucker Psychologist 205 E 3rd Ave, Ste 208, San Mateo, CA 94401-4051 2008-08-21
1609041185 Richard Stewart Cameron Counselor 205 E 3rd Ave, Suite 203, San Mateo, CA 94401-4051 2008-04-25
1629279757 Marilyn Mellott Bacigalupi Marriage & Family Therapist 205 E 3rd Ave, 315, San Mateo, CA 94401-4051 2007-05-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841800760 Monica Marie Rivas Behavior Technician 429 Peninsula Avenue, San Mateo, CA 94401 2020-08-05
1609412865 Cindy Toshiko Hedlin Marriage & Family Therapist 1117 S. B Street, Suite 9, San Mateo, CA 94401 2019-11-22
1750846655 James Court Manor Inc. Assisted Living Facility 1316 James Court, San Mateo, CA 94401 2019-02-05
1467991778 Maria Elena Lopez Student in an Organized Health Care Education/Training Program 325 Villa Terrace, San Mateo, CA 94401 2017-02-20
1487198339 Johnie Pangelina Behavioral Analyst 242 Peninsula Ave, San Mateo, CA 94401 2016-12-12
1740736230 Meredith Eileen Morgan Dentist 100 S. Ellsworth Av, #601, San Mateo, CA 94401 2016-08-25
1376998963 Lior Tamir Dentist 800 B Street Suite #200, San Mateo, CA 94401 2016-05-02
1609233584 Delicia Ortega Behavioral Analyst 424 Peninsula Avenue, San Mateo, CA 94401 2016-01-22
1396122388 Ramy Salah Internal Medicine 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 2015-04-29
1508255902 Risso Counseling, Inc. Marriage & Family Therapist 120 North El Camino Real, San Mateo, CA 94401 2015-01-22
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609412865 Cindy Toshiko Hedlin Marriage & Family Therapist 1117 S. B Street, Suite 9, San Mateo, CA 94401 2019-11-22
1740840396 Vincent Wing Ching Fong Marriage & Family Therapist 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 2019-06-17
1508423872 Moby Coquillard Marriage & Family Therapist 1777 Borel Pl Ste 214, San Mateo, CA 94402-3511 2019-05-22
1437610995 Rebecca Lee Kolker Zhang Marriage & Family Therapist 1660 S Amphlett Blvd Ste 217, San Mateo, CA 94402-2508 2019-03-27
1851867881 Dayna E Reader Marriage & Family Therapist 1720 S Amphlett Blvd Ste 220c, San Mateo, CA 94402-2713 2018-10-17
1275030694 Helen Crawford Marriage & Family Therapist 700 S Claremont St Ste 107, San Mateo, CA 94402-1447 2018-04-11
1811499726 Michelle Sonnenschein Marriage & Family Therapist 205 E 3rd Ave Ste 403, San Mateo, CA 94401-4050 2018-03-07
1073020202 Kristin Donato Marriage & Family Therapist 205 E 3rd Ave Ste 203, San Mateo, CA 94401-4028 2018-01-09
1235650979 Melanie Lynn Stauffer Marriage & Family Therapist 1710 S Amphlett Blvd Ste 210c, San Mateo, CA 94402-2705 2017-07-03
1346778875 Barbara Reynolds Sky Marriage & Family Therapist 1117 S B St Ste 9, San Mateo, CA 94401-4351 2017-05-29
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Competitor

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City SAN MATEO
Zip Code 94401

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Dataset Information

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.

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