Individual provider Active NPI

Kehiante McKinley, PSYD

  • Clinical Psychologist
  • Inglewood, CA
National Provider Identifier
1699423764
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35488 Issued in CA
Practice address
419 S Eucalyptus Ave Unit B
Inglewood, CA 90301-2605
Phone
(818) 253-9441
NPI assigned
Mar 16, 2022
Last updated
Nov 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35488 CA Primary
Psychologist 103T00000X 35488 CA

Addresses

Primary practice location

419 S Eucalyptus Ave Unit B
Inglewood, CA 90301-2605

Mailing address

112 S Market St # 112
Inglewood, CA 90301-1712
Phone (406) 868-5508

Other practice location 1

2001 S Barrington Ave Ste 204
Los Angeles, CA 90025-5385
Phone (818) 253-9441

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Psychology Guides, PC Clinical CurrentSince Dec 1, 2024 Accepting new patients

Locations

112 S Market St
Inglewood, CA 90301

2001 S Barrington Ave
Ste 204
West Los Angeles, CA 90025
Phone (310) 902-0990

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1699423764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MARKET ST # 112",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011712",
            "telephone_number": "406-868-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S EUCALYPTUS AVE UNIT B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012605",
            "telephone_number": "818-253-9441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S Barrington Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900255385",
            "country_code": "US",
            "telephone_number": "818-253-9441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "KEHIANTE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "35488",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "35488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.