Organization Active NPI

Jeff McBride, LMFT

  • Marriage & Family Therapist
  • Kailua Kona, HI
National Provider Identifier
1407375140
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
522 Issued in HI
Legal business name
JEFF MCBRIDE, LMFT
Practice address
74-381 Kealakehe Pkwy Ste F
Kailua Kona, HI 96740-2709
Phone
(808) 657-9152
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Authorized official

Name
Jeffrey M McBride, LMFT
Title
Owner
Phone
(808) 657-9152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 522 HI Primary

Addresses

Primary practice location

74-381 Kealakehe Pkwy Ste F
Kailua Kona, HI 96740-2709

Mailing address

75-5660 Kopiko St
Suite C7 #316
Kailua Kona, HI 96740

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1407375140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5660 KOPIKO ST",
            "address_2": "SUITE C7 #316",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "96740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-381 KEALAKEHE PKWY STE F",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402709",
            "telephone_number": "808-657-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF MCBRIDE, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-657-9152",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.