Individual provider Active NPI

Kathleen Lynn Filippelli, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1063275469
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028871 Issued in CA
Practice address
322 Piercy Rd
San Jose, CA 95138-1401
Phone
(510) 875-7721
NPI assigned
Jan 30, 2024
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816002376 CA Practitioner - Nurse Practitioner 9537607965 Reassigns benefits to 2 organizations

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
Inspire Psychiatric Nursing Services IncGroup PAC ID 7012278625, 7 clinicians

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

OrganizationSpecialtyStatusNew patients
Lumos Integrative Psychiatry and Wellness, PLLC Psychiatric/Mental Health Current Accepting new patients
Lilium Psychiatric Nursing Services Inc CurrentSince Aug 1, 2024 Accepting new patients
Inspire Psychiatric Nursing Services Inc Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Thriveworks Clinical - California PC CurrentSince Oct 20, 2025 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.

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

Verify at the official NPI Registry.