Individual provider Active NPI

Bryana Rochelle Kappadakunnel, LMFT, IFECMHS

  • Marriage & Family Therapist
  • Redondo Beach, CA
National Provider Identifier
1619225554
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT90464 Issued in CA
Practice address
1801 S Catalina Ave Ste 306
Redondo Beach, CA 90277-5513
Phone
(424) 216-9600
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF75926 CA
Marriage & Family Therapist 106H00000X LMFT90464 CA Primary

Addresses

Primary practice location

1801 S Catalina Ave Ste 306
Redondo Beach, CA 90277-5513

Mailing address

1801 S Catalina Ave Ste 306
Redondo Beach, CA 90277-5513
Phone (424) 216-9600

Other practice location 1

827 Deep Valley Dr
Suite 309
Rolling Hills Estates, CA 90274-3647
Phone (424) 216-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF75926CAMDMarriage & Family Therapist
LMFT90464CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Parent Connection, a Family Therapy Corporation Current Accepting new patients

Locations

1801 S Catalina Ave
Ste 306
Redondo Beach, CA 90277
Phone (310) 375-8976

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1619225554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S CATALINA AVE STE 306",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775513",
            "telephone_number": "424-216-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S CATALINA AVE STE 306",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775513",
            "telephone_number": "424-216-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 Deep Valley Dr",
            "address_2": "Suite 309",
            "address_purpose": "LOCATION",
            "city": "Rolling Hills Estates",
            "state": "CA",
            "postal_code": "902743647",
            "country_code": "US",
            "telephone_number": "424-216-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPPADAKUNNEL",
        "first_name": "BRYANA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT, IFECMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF75926",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT90464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.