Stephen J. Kenneally, MBA, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

44236 Issued in CA

Practice address

610 Santa Monica BVD
Ste. 201
Santa Monica, CA 90401

Phone

(310) 936-9965

NPI assigned

Jun 2, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Business Administration

State licenses

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1720468036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SANTA MONICA BLVD",
            "address_2": "STE. 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011632",
            "telephone_number": "310-936-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SANTA MONICA BVD",
            "address_2": "STE. 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90401",
            "telephone_number": "310-936-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEALLY",
        "first_name": "STEPHEN",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "MBA, MA, MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josie Kelly, MFT
• Kelsey Harper, Psychologist Incorporated
• Paul Kelson
• Tal Mazal Kempler
• Joseph Keith Kendal, MD, FRCSC
• Allison Paige Kennedy, MD
• Elizabeth Anne Kennedy, MA, AMFT
• Hannah Elise Kennedy, PA-C
• Nicole Katelyn Kennedy, LMFT
• Rebecca Kennedy

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, 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 Jun 2, 2015; 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.