Active NPI
Kathleen Lynn Filippelli, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95028871
- Practice address
- 322 Piercy Rd
San Jose, CA 95138-1401 - Phone
- (510) 875-7721
- NPI assigned
- Jan 30, 2024
- Last updated
- Jan 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95028871 | CA | Primary |
Addresses
Primary practice location
322 Piercy Rd
San Jose, CA 95138-1401
Mailing address
27918 Sycamore Creek Dr
Santa Clarita, CA 91354-1334
Phone (805) 705-4573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2382 Faraday Ave
Suite 100
Carlsbad, CA 92008-7219
Phone (858) 209-9871
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumos Integrative Psychiatry and Wellness, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Lilium Psychiatric Nursing Services Inc | Current | Accepting new patients | |
| Inspire Psychiatric Nursing Services Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| Thriveworks Clinical - California PC | Current | Accepting new patients |
Locations
2020 Milvia St
Ste 200
Berkeley, CA 94704
Phone (209) 689-2669
2382 Faraday Ave
Ste 100
Carlsbad, CA 92008
Phone (858) 209-9871
171 Saxony Rd
Ste 106
Encinitas, CA 92024
Phone (760) 640-0270
2480 Hilborn Rd
Ste 101
Fairfield, CA 94534
Phone (347) 835-8230
18652 Florida St
Ste 245
Huntington Beach, CA 92648
Phone (714) 698-3460
116 S Catalina Ave
Ste 109
Redondo Beach, CA 90277
Phone (617) 454-4916
2525 Camino del Rio S
Ste 301
San Diego, CA 92108
Phone (209) 689-2669
815 Hyde St
Ste 301
San Francisco, CA 94109
Phone (415) 292-5477
2025 Forest Ave
Ste 5
San Jose, CA 95128
Phone (209) 689-2669
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Carlsbad, CA
- NPI 1649788472
-
- Mental Health Counselor
- Thousand Oaks, CA
- NPI 1801481395
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Worth, TX
- NPI 1578490652
-
- Nurse Practitioner
- Carlsbad, CA
- NPI 1609629948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1063275469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27918 SYCAMORE CREEK DR",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913541334",
"telephone_number": "805-705-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 PIERCY RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951381401",
"telephone_number": "510-875-7721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILIPPELLI",
"first_name": "KATHLEEN",
"middle_name": "LYNN",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-30",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95028871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.