Kelly Spagnuolo

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

2701 Ocean Park Blvd Ste 150
Santa Monica, CA 90405-5219

Phone

(310) 392-5855

NPI assigned

Sep 18, 2007

Sex

Female

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

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1730375379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 OCEAN PARK BLVD STE 150",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 OCEAN PARK BLVD STE 150",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055219",
            "telephone_number": "310-392-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNUOLO",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Head & Neck Surgery Center
• Southern California Head Neck Imaging Center
• Southern California Medical Gastroenterology Group, Inc.
• Southern California Mobility, Inc.
• Sowa Wellness Center Inc
• Brooke Hansen Spanos, M.D.
• Kathryn Eva Sparks
• Paulina Dianne Speaker
• Andrea Lange Spear, PH.D
• Special Needs Resource Group

• 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 Sep 18, 2007; 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.