MR. STEPHEN J. KENNEALLY (NPI# 1720468036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720468036 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN J. KENNEALLY |
| Credential | MBA, MA, MFT |
| Practice Address |
610 Santa Monica Bvd Ste. 201 Santa Monica CA 90401 |
| Mailing Address |
610 Santa Monica Blvd Ste. 201 Santa Monica CA 90401-1632 |
| Practice Telephone | 3109369965 |
| Mailing Telephone | 3109369965 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 44236 | CA | Behavioral Health & Social Service Providers |
| Street Address |
610 SANTA MONICA BVD STE. 201 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| 1295014603 | Richard James Rauth | Dentist | 1234 Seventh Street, Suite 3, Santa Monica, CA 90401 | 2011-08-16 |
| Find all providers in zip 90401 | ||||
| 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 |
|---|---|---|---|---|
| 1447851266 | Gloria Alice Lakin | Marriage & Family Therapist | 2720 Neilson Way # 5564, Santa Monica, CA 90405-4060 | 2020-11-06 |
| 1295335420 | Betsy Carol Cantor | Marriage & Family Therapist | 1011 Euclid St Unit E, Santa Monica, CA 90403-4296 | 2020-10-27 |
| 1306444666 | Andrew Cooper Wasser | Marriage & Family Therapist | 2730 Wilshire Blvd Ste 620, Santa Monica, CA 90403-4755 | 2020-10-09 |
| 1386250942 | Allison Nicole Crooks | Marriage & Family Therapist | 2444 Wilshire Blvd Ste 607, Santa Monica, CA 90403-5814 | 2020-09-18 |
| 1902411374 | Maura Tousignant | Marriage & Family Therapist | 1410 15th St Apt 23, Santa Monica, CA 90404-2724 | 2020-09-12 |
| 1285252668 | Erika Morris | Marriage & Family Therapist | 1621 Centinela Ave Apt E, Santa Monica, CA 90404-4262 | 2020-07-11 |
| 1376168658 | Rosa Morrow | Marriage & Family Therapist | 844 Grant St Apt D, Santa Monica, CA 90405-1361 | 2020-06-11 |
| 1992327357 | Kimberly Sandra Benning | Marriage & Family Therapist | 2029 Olympic Blvd Apt 112, Santa Monica, CA 90404-3964 | 2020-05-08 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1487283537 | Stephanie Gilbert | Marriage & Family Therapist | 528 Arizona Ave Ste 220, Santa Monica, CA 90401-1442 | 2020-04-01 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
Please comment or provide details below to improve the information on MR. STEPHEN J. KENNEALLY.
| 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.