Kelly Waggoner, PSY.D.
NPI 1275867418 · Clinical Psychologist · Hermosa Beach, CA
Kelly Waggoner, PSY.D. is a Clinical Psychologist provider in Hermosa Beach, CA (NPI 1275867418).
Provider details
- NPI number
- 1275867418
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY 24570 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-09-21
- Last updated
- 2011-09-29
Frequently asked questions
- What is Kelly Waggoner's NPI number?
- Kelly Waggoner's National Provider Identifier (NPI) is 1275867418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Waggoner's specialty?
- Kelly Waggoner is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kelly Waggoner located?
- Kelly Waggoner's practice location on file with NPPES is 2200 Pacific Coast Hwy Ste 215, Hermosa Beach, CA 90254-2701.
- What is Kelly Waggoner's phone number?
- The practice phone number listed in the NPPES registry for Kelly Waggoner is (310) 567-0456.
- Is Kelly Waggoner's NPI active?
- Yes — Kelly Waggoner's NPI (1275867418) is active in the NPPES registry as of the last update on 2011-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.