Individual provider Active NPI

Kimberly McNary, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1386191120
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
80011 Issued in CA
Practice address
12396 World Trade Dr Ste 109
San Diego, CA 92128-3787
Phone
(619) 333-6382
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 80011 CA Primary

Addresses

Primary practice location

12396 World Trade Dr Ste 109
San Diego, CA 92128-3787

Mailing address

12396 World Trade Dr Ste 109
San Diego, CA 92128-3787
Phone (619) 333-6382

Other names 1

  • Kimberly Sandstrom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McNary Therapy, a Marriage & Family Practice, PC Marriage & Family Therapist CurrentSince Feb 9, 2025 Accepting new patients

Locations

12396 World Trade Dr
Ste 109
San Diego, CA 92128
Phone (619) 333-6382

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1386191120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12396 WORLD TRADE DR STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283787",
            "telephone_number": "619-333-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12396 WORLD TRADE DR STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283787",
            "telephone_number": "619-333-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNARY",
        "first_name": "KIMBERLY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SANDSTROM",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.