Active NPI
Child Parent Connection, a Family Therapy Corporation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Redondo Beach, CA
National Provider Identifier
1780167254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CHILD PARENT CONNECTION, A FAMILY THERAPY CORPORATION
- Practice address
- 1801 S Catalina Ave Ste 306
Redondo Beach, CA 90277-5513 - Phone
- (424) 216-9600
- NPI assigned
- Sep 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Bryana Rochelle Kappdakunnel, LMFT, IFECMHS
- Title
- Owner/Director
- Phone
- (424) 216-9600
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
1801 S Catalina Ave Ste 306
Redondo Beach, CA 90277-5513
Mailing address
1801 S Catalina Ave Ste 306
Redondo Beach, CA 90277-5513
Phone (424) 216-9600
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Redondo Beach, CA
- NPI 1619225554
-
- Clinical Social Worker
- Redondo Beach, CA
- NPI 1306458971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536624000000",
"number": "1780167254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 S CATALINA AVE STE 306",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775513",
"telephone_number": "424-216-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 S CATALINA AVE STE 306",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775513",
"telephone_number": "424-216-9600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD PARENT CONNECTION, A FAMILY THERAPY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-11",
"last_updated": "2018-09-11",
"status": "A",
"authorized_official_last_name": "KAPPDAKUNNEL",
"authorized_official_first_name": "BRYANA",
"authorized_official_middle_name": "ROCHELLE",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "424-216-9600",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT, IFECMHS"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.