Kimberley Jayne Quinlan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

78448 Issued in CA

Practice address

23801 Calabasas Rd Ste 2036
Calabasas, CA 91302-3462

Phone

(818) 452-3510

NPI assigned

Jan 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 24, 2024 through Jan 24, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kimberley Quinlan a Marriage and Family Therapy Corporation

  • Marriage & Family Therapist
  • Calabasas, CA
  • NPI 1396293387
  NPD (past) Authorized official

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1114567401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23801 CALABASAS RD STE 2036",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23801 CALABASAS RD STE 2036",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023462",
            "telephone_number": "818-452-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLAN",
        "first_name": "KIMBERLEY",
        "middle_name": "JAYNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "78448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberley@kimberleyquinlan-lmft.com",
            "affiliation": "N",
            "endpointDescription": "Confidential Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business Email",
            "address_1": "23801 Calabasas Rd Ste 2036",
            "city": "Calabasas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913023462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Prominence Corporation
• Laura Ellen Purdy, MD
• Noel Purkin, M.D. FRCS(C)
• Isabella Qualls
• Jaclyn Quijano
• Kendra K Quinton, MFT
• Andrew Rabizadeh
• Juliet Rachelle Rabizadeh
• Victoria Ellen Rabow
• Sheryl Rachmel, M.A.

• Marriage & Family Therapist in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.