Kathleen Mary McDermott, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

16495 Issued in CA

Practice address

1611 S Pacific Coast Hwy Ste 307
Redondo Beach, CA 90277-5614

Phone

(310) 818-1902

Fax

(844) 888-0583

NPI assigned

Nov 21, 2008

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evolve Psychiatric Services, a Professional Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Redondo Beach, CA
  • NPI 1548092745
  NPD Authorized official

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1760637474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S PACIFIC COAST HWY STE 307",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775614",
            "telephone_number": "310-818-1902",
            "fax_number": "844-888-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S PACIFIC COAST HWY STE 307",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775614",
            "telephone_number": "310-818-1902",
            "fax_number": "844-888-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "DNP,  PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "16495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Noelle McCauley, MFT
• Trinity McClinton
• Marguerite Mary McCormick, NP
• Ivory Eloise McCowen
• Hana Ibrahimovic McDermott
• Sarah Kate McElroy, FNP
• Sean Michael McFadden
• Samantha McFeely
• Teri Jean McHale, PH.D.
• McHugh Psychological Group Inc

• Psychiatric/Mental Health Nurse Practitioner in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.