Colleen M Kelly

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC49827 Issued in CA

Practice address

15503 Ventura Boulevard
Suite 390a
Encino, CA 91436

Phone

(818) 276-1799

NPI assigned

Apr 1, 2008

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1316119175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15503 VENTURA BLVD",
            "address_2": "SUITE 390A",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363114",
            "telephone_number": "818-276-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15503 VENTURA BOULEVARD",
            "address_2": "SUITE 390A",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-276-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC49827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Kayne, M.D.
• Ani Kazarian, O.D.
• KBG Med Clinic and Urgent Care, Inc. (Family Med Clinic and Pediatrics Urgent Care)
• KC Medical
• Kourosh Keikhanzadeh, D.D.S., M.D.SC
• Dalia Kenig
• Uri A Kenig, PH.D.
• Monique Iresha Kennedy
• Kenneth Scott, Psy.D., a Psychological Corporation
• Kenneth W. Chin, M.D., Incorporated

• Marriage & Family Therapist in Encino, CA
• Providers in Encino, 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 Oct 16, 2012; 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.