MR. PHILLIP N MCKINNON (NPI# 1669643722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669643722 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP N MCKINNON |
| Credential | LMFT |
| Practice Address |
14700 Manzanita Rd Beaumont CA 92223 |
| Mailing Address |
405 W 5th St Ste 590 Santa Ana CA 92701-4599 |
| Practice Telephone | 9518453155 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2018-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 108062 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 76672 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 W 5th St Ste 590, Santa Ana, CA 927014599 | 7145652830 |
| Street Address |
14700 MANZANITA RD |
| City | BEAUMONT |
| State | CA |
| Zip Code | 92223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902956584 | Childhelp, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 14700 Manzanita Rd, Beaumont, CA 92223-3026 | 2007-01-12 |
| 1790396208 | Dayanerrah Taoete | Case Manager/Care Coordinator | 14700 Manzanita Rd, Beaumont, CA 92223-3026 | 2020-08-10 |
| 1598383887 | Kaylee Rae Austin | Case Manager/Care Coordinator | 14700 Manzanita Rd, Beaumont, CA 92223-3026 | 2020-07-13 |
| 1700436946 | Ryan Richard Herrera | Case Manager/Care Coordinator | 14700 Manzanita Rd, Beaumont, CA 92223-3026 | 2019-09-19 |
| 1811462617 | Edward John Lopez | Case Manager/Care Coordinator | 14700 Manzanita Rd, Beaumont, CA 92223-3026 | 2018-10-08 |
| 1063996692 | Khoa Vo | Case Manager/Care Coordinator | 14700 Manzanita Rd, Beaumont, CA 92223-3026 | 2018-09-19 |
| 1861975880 | Monica Marie Ward | Case Manager/Care Coordinator | 14700 Manzanita Rd, Beaumont, CA 92223-3026 | 2018-09-14 |
| 1831672609 | Malarie Jacobson | Case Manager/Care Coordinator | 14700 Manzanita Rd, Beaumont, CA 92223-3026 | 2018-09-07 |
| 1285112235 | Norman Brown | Case Manager/Care Coordinator | 14700 Manzanita Rd, Beaumont, CA 92223-3026 | 2018-08-01 |
| 1073011052 | Daneen R Hutchinson | Behavioral Analyst | 14700 Manzanita Rd, Beaumont, CA 92223 | 2018-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
| 1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
| 1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| Find all providers in zip 92223 | ||||
| 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 |
|---|---|---|---|---|
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1740742238 | Kimberly Salyer | Marriage & Family Therapist | 1502 Sagebrush Pl, Beaumont, CA 92223-2037 | 2019-04-03 |
| 1124484704 | Sarah Kimmons | Marriage & Family Therapist | 284 Chimney Rock, Beaumont, CA 92223-7366 | 2016-01-12 |
| 1972845550 | Sarah Suellon Nunley | Marriage & Family Therapist | 620 Edgar Ave, Beaumont, CA 92223-2130 | 2013-03-21 |
| 1174714992 | Michael Roy De Gasperin | Marriage & Family Therapist | 1715 Golden Way, Beaumont, CA 92223-7181 | 2007-08-07 |
| 1457814741 | Pablo Garcia Hurtado | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-04-12 |
| 1215419700 | Solmaz Yasamin Shenasi | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2018-08-31 |
| 1316436868 | Karen Jackeline Magana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2018-05-09 |
| 1780134338 | Jennifer Poole | Marriage & Family Therapist | 620 Edgar Ave, Beaumont, CA 92223-2130 | 2016-10-06 |
| 1457800096 | Erika Larios | Marriage & Family Therapist | 136 E 6th St, Beaumont, CA 92223-2146 | 2016-09-23 |
| Find all providers in BEAUMONT | ||||
Please comment or provide details below to improve the information on MR. PHILLIP N MCKINNON.
| 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.