Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kelly Condon Waggoner, PSY.D.

Clinical Psychologist in Hermosa Beach, CA · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275867418

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Kelly Condon Waggoner

Credential PSY.D.

Sex Female

Practice address Hermosa Beach, CA, 90254

Phone (310) 567-0456

Enumeration date Sep 21, 2009

Last updated in NPPES Sep 29, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License PSY 24570 (CA) Primary

PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Kelly Waggoner's NPI record?

Cross-check NPI 1275867418 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1275867418 active?

Yes, as of the latest NPPES snapshot, NPI 1275867418 is active (record last updated 2011-09-29).

Other providers at this practice address

Browse all →

Michele Blume Psychologist · Hermosa Beach, CA NPI 1952557670 Chelsea Fidai MOHS-Micrographic Surgery Physician · Hermosa Beach, CA NPI 1841653714 Christine Hartney Marriage & Family Therapist · Hermosa Beach, CA NPI 1952829392 Evelyn Jacobson Marriage & Family Therapist · Hermosa Beach, CA NPI 1386113603 Chelsea Fidai MD Inc Dermatology Physician · Hermosa Beach, CA NPI 1508753278 Coastline Surgery Center of California PC Ambulatory Surgical Clinic/Center · Hermosa Beach, CA NPI 1932076635 Gary G Tse MD Inc Diagnostic Radiology Physician · Hermosa Beach, CA NPI 1477402667 Coastline Surgery Center of California PC Surgery Physician · Hermosa Beach, CA NPI 1023977246

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-29.