KEVIN BRODY (NPI# 1245855824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245855824 |
| Entity Type | Individual |
| Full Name | KEVIN BRODY |
| Practice Address |
1865 9th St Santa Monica CA 90404 |
| Mailing Address |
2644 30th St Ste 100 Santa Monica CA 90405-3051 |
| Practice Telephone | 2243009407 |
| Mailing Telephone | 2243009407 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 427 N Adams St Apt 16, Glendale, CA 912063413 | 2243009407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063490621 | Kevin Alexander Brody | Emergency Medicine | 15855 19 Mile Road, Emergency Medicine Department, Clinton Twp, MI 48038-3504 | 2006-01-04 |
| Street Address |
1865 9TH ST |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1982205985 | Gabrielle Anne Mayer | Counselor | 1865 9th St, Santa Monica, CA 90405 | 2020-11-05 |
| 1932734951 | Gloria Dean Davis | Licensed Vocational Nurse | 1865 9th St, Santa Monica, CA 90404 | 2020-03-10 |
| 1295376648 | Brittany Hillard | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-10-07 |
| 1336798586 | Erica Renee Douglas | Licensed Vocational Nurse | 1865 9th St, Santa Monica, CA 90404-4501 | 2019-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| 1467823278 | Alexandra Daniela Arroyo | Behavioral Analyst | 1838 22nd St Apt 2, Santa Monica, CA 90404 | 2015-10-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1861031726 | Christian Joshua Talam | Counselor | 1865 9th Strret, Santa Monica, CA 90404-1324 | 2019-12-24 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1669792065 | Byron Williams | Counselor | 1865 9th Street, Santa Monica, CA 90404-4501 | 2010-06-08 |
| 1013242692 | Stephen S Reeder | Counselor | 2121 Cloverfield Blvd Ste 131, Santa Monica, CA 90404-5277 | 2009-10-15 |
| 1689830358 | Nadia Judith Bijaoui | Counselor | 100 Wilshire Blvd, Suite 940, Santa Monica, CA 90401-1110 | 2008-08-01 |
| 1982205985 | Gabrielle Anne Mayer | Counselor | 1865 9th St, Santa Monica, CA 90405 | 2020-11-05 |
| 1588270318 | Samantha Michole Tart | Counselor | 1869 9th Street, Santa Monica, CA 90405 | 2020-09-17 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on KEVIN BRODY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.