Individual provider Active NPI

Rhonda Brinkley Kennedy, PSYD, LMFT

  • Marriage & Family Therapist
  • Valencia, CA
National Provider Identifier
1104959543
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 24823 Issued in CA
Practice address
24307 Magic Mountain Pkwy # 270
Valencia, CA 91355-3402
Phone
(323) 446-4311
Fax
(661) 349-4633
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 060193975 CA
Marriage & Family Therapist 106H00000X MFC 24823 CA Primary

Addresses

Primary practice location

24307 Magic Mountain Pkwy # 270
Valencia, CA 91355-3402

Mailing address

24307 Magic Mountain Pkwy # 270
Valencia, CA 91355-3402
Phone (323) 446-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
060193975CAMDSchool Psychologist
MFC 24823CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1104959543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24307 MAGIC MOUNTAIN PKWY # 270",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553402",
            "telephone_number": "323-446-4311",
            "fax_number": "661-349-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24307 MAGIC MOUNTAIN PKWY # 270",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553402",
            "telephone_number": "323-446-4311",
            "fax_number": "661-349-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "RHONDA",
        "middle_name": "BRINKLEY",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "060193975",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 24823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.