Kiley Ann McGill

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

141934 Issued in CA

Practice address

31450 Broad Beach Rd
Malibu, CA 90265-2669

Phone

(310) 881-8457

NPI assigned

Jan 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1760197396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 9TH ST APT 5",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031536",
            "telephone_number": "310-845-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31450 BROAD BEACH RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902652669",
            "telephone_number": "310-881-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "KILEY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124341",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "141934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hussam Yaser Mawari, MD
• Carol Ann MC Cabe, B.S.
• Courtney McCaul, PSY. D.
• Lisa McCullough, LMFT
• Patricia McDermott, M.D.
• Andrea McGovern, MS MFT
• Sydney Dodge McIlvain, LCGC
• Kellye D McKinna, PHD
• Patricia Lee McNamee, PHARM.D.
• Mermaids Cove Malibu Inc.

• Marriage & Family Therapist in Malibu, CA
• Providers in Malibu, 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 Oct 24, 2023; 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.