Active NPI
Kepp Family & Group Practice
- Marriage & Family Therapist
- Palm Desert, CA
National Provider Identifier
1316564339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- KEPP FAMILY & GROUP PRACTICE
- Practice address
- 77564 Country Club Dr Ste 206
Palm Desert, CA 92211-6248 - Phone
- (310) 474-0676
- NPI assigned
- Jun 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Skeens, PSYD, LMFT
- Title
- Owner
- Phone
- (310) 474-0676
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
77564 Country Club Dr Ste 206
Palm Desert, CA 92211-6248
Mailing address
12011 San Vincente Blvd
408
Los Angeles, CA 90049
National Provider Directory
National Provider DirectoryLocations
77564 Country Club Dr
Ste 206
Palm Desert, CA 92211
Phone (310) 474-0676
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Palm Desert, CA
- NPI 1710453683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1316564339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12011 SAN VINCENTE BLVD",
"address_2": "408",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77564 COUNTRY CLUB DR STE 206",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922116248",
"telephone_number": "310-474-0676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEPP FAMILY & GROUP PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-26",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "SKEENS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-474-0676",
"authorized_official_credential": "PSYD, LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.