Organization Active NPI

Kevin M. Kilbane, L.M.F.T., Inc.

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1063560480
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC36992 Issued in CA
Legal business name
KEVIN M. KILBANE, L.M.F.T., INC.
Practice address
3815 Atlantic Ave Ste 2
Long Beach, CA 90807-3500
Phone
(562) 424-8503
Fax
(562) 424-8772
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kevin Michael Kilbane, L.M.F.T.NPI 1720097983
Title
Owner
Phone
(562) 424-8503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC36992 CA Primary

Addresses

Primary practice location

3815 Atlantic Ave Ste 2
Long Beach, CA 90807-3500

Mailing address

3815 Atlantic Ave Ste 2
Long Beach, CA 90807-3500
Phone (562) 424-8503

National Provider Directory

National Provider Directory

Locations

3815 Atlantic Ave
Ste 2
Long Beach, CA 90807
Phone (562) 424-8503

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063560480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 ATLANTIC AVE STE 2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073500",
            "telephone_number": "562-424-8503",
            "fax_number": "562-424-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 ATLANTIC AVE STE 2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073500",
            "telephone_number": "562-424-8503",
            "fax_number": "562-424-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M. KILBANE, L.M.F.T., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILBANE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-424-8503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.