Kathleen Carroll-Wray

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

32008 Issued in CA

Practice address

2665 30TH St Ste 213
Santa Monica, CA 90405-3025

Phone

(323) 306-0736

NPI assigned

Aug 26, 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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alongside Psychological Services Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Santa Monica, CA
  • NPI 1083345599

  Clinical Child & Adolescent

  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1124631312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 30TH ST STE 213",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053025",
            "telephone_number": "323-306-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 30TH ST STE 213",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053025",
            "telephone_number": "323-306-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL-WRAY",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "32008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS ENTITY NUMBER",
            "identifier": "4608414",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alongside-la.com",
            "affiliation": "N",
            "address_1": "2665 30th St Ste 213",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904053025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lolita Carrico, CN
• Asha Carrier
• Angelica Carrillo, LVN
• Erik Javier Carrillo
• Jose Arganda Carrillo, MD
• Barbara Jean Carroll, OTR/L
• Matthew Carroll
• Orlando J. Cartaya, M.D.
• Angella Carter, LVN
• Fanya Carter, PHD

• Clinical Child & Adolescent Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.