Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan Patrick Kennedy, MS

Individual provider Mental Health Counselor · NPI 1093857757

Ryan Patrick Kennedy, MS is a Marriage and Family Therapist in Santa Ana, California. Qualified in 2006, 20 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3601 S Harbor Blvd Ste 100
Santa Ana, CA 92704-7937
Phone: (714) 644-6480
Fax: (714) 428-3477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFC 53770 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 50420 (CA)
Rehabilitation Practitioner Taxonomy 225400000X · Licence 50420 (CA)

Record details

NPI number1093857757
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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