Individual provider Active NPI

Kyle Gregory Harwick

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1730717729
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
149830 Issued in CA
Practice address
4100 Campus Dr Ste 150
Newport Beach, CA 92660-1931
Phone
(949) 919-0528
NPI assigned
Mar 27, 2020
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 149830 CA Primary

Addresses

Primary practice location

4100 Campus Dr Ste 150
Newport Beach, CA 92660-1931

Mailing address

4100 Campus Dr Ste 150
Newport Beach, CA 92660-1931
Phone (949) 919-0528

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
149830CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Wave Counseling Mental Health CurrentSince Dec 15, 2024 Accepting new patients

Locations

4100 Campus Dr
Ste 150
Newport Beach, CA 92660
Phone (714) 808-2147

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1730717729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 CAMPUS DR STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601931",
            "telephone_number": "949-919-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CAMPUS DR STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601931",
            "telephone_number": "949-919-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWICK",
        "first_name": "KYLE",
        "middle_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "149830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

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