Organization Active NPI

Lynn Kilroy, PH.D., Clinical Psychologist, a Professional Corporation

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1154647691
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 15015 Issued in CA
Legal business name
LYNN KILROY, PH.D., CLINICAL PSYCHOLOGIST, A PROFESSIONAL CORPORATION
Practice address
11340 W Olympic Blvd
Suite 320
Los Angeles, CA 90064-1608
Phone
(310) 446-8088
Fax
(310) 477-2502
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

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

Authorized official

Name
Dr. Lynn Kilroy, PH.D.
Title
President
Phone
(310) 446-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY 15015 CA Primary

Addresses

Primary practice location

11340 W Olympic Blvd
Suite 320
Los Angeles, CA 90064-1608

Mailing address

11340 W Olympic Blvd
Suite 320
Los Angeles, CA 90064-1608
Phone (310) 446-8088

National Provider Directory

National Provider Directory

Locations

11340 W Olympic Blvd
Ste 320
Los Angeles, CA 90064
Phone (310) 446-8088

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319241600000",
    "number": "1154647691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD",
            "address_2": "SUITE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641608",
            "telephone_number": "310-446-8088",
            "fax_number": "310-477-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD",
            "address_2": "SUITE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641608",
            "telephone_number": "310-446-8088",
            "fax_number": "310-477-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN KILROY, PH.D., CLINICAL PSYCHOLOGIST, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2011-10-22",
        "status": "A",
        "authorized_official_last_name": "KILROY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-446-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 15015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.