Michaele Diane McKinney, AMFT, CADC-II

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

132978 Issued in CA

Practice address

Silver Lake Psychology Inc.
4325 Sunset Blvd, Unit 206
Los Angeles, CA 90029

Phone

(310) 809-8004

NPI assigned

Mar 15, 2011

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Tulare

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1407304678
  NPD (past)
• County of Tulare

  • Community/Behavioral Health Agency
  • Porterville, CA
  • NPI 1518418581
  NPD (past)

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1669771739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SILVER LAKE PSYCHOLOGY INC.",
            "address_2": "4325 SUNSET BLVD., UNIT 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "800-726-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SILVER LAKE PSYCHOLOGY INC.",
            "address_2": "4325 SUNSET BLVD, UNIT 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "310-809-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Tulare County HHSA Alcohol & Drug Div.",
            "address_2": "942 South Santa Fe",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "93292",
            "country_code": "US",
            "telephone_number": "559-636-4000 x4043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Tulare County Mental Health",
            "address_2": "520 E Tulare Avenue",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932921102",
            "country_code": "US",
            "telephone_number": "559-623-0990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "MICHAELE",
        "middle_name": "DIANE",
        "credential": "AMFT, CADC-II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "109031",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "132978",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "206099",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Alexander McKinney, DC
• James Robert McKinney, PH.D.
• Jamie A McKinney, M.D.
• K'Hara McKinney, MA
• Martha Louise McKinney, MD MPH
• Benjamin T. McKinnon, LCSW
• Shannon McKinnon, MA
• Klane McKinstry
• Meagan McKinstry
• Victoria Lee McKinzie, CRNA

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 16, 2024; 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.