Kristine Alice Smylie, MA, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC28222 Issued in CA

Practice address

22761 Pacific Coast Hwy
#232
Malibu, CA 90265-5098

Phone

(310) 463-3870

NPI assigned

May 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1174790968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 HART AVE",
            "address_2": "#4",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053524",
            "telephone_number": "319-463-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22761 PACIFIC COAST HWY",
            "address_2": "#232",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655098",
            "telephone_number": "310-463-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYLIE",
        "first_name": "KRISTINE",
        "middle_name": "ALICE",
        "credential": "MA, MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MFC28222",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIOR HEALTH",
            "identifier": "550010001050",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE BEHAVIORAL HEALTH",
            "identifier": "550010001050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Malibu, CA
• Providers in Malibu, 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 May 12, 2008; 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.