MR. STEPHEN J. KENNEALLY


Address: 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401
Phone: 3109369965

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 44236 CA Behavioral Health & Social Service Providers

Office Location

Street Address 610 SANTA MONICA BVD
STE. 201
City SANTA MONICA
State CA
Zip Code 90401

Providers in the same zip code

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 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
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

Competitor

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City SANTA MONICA
Zip Code 90401

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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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