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DR. KELLY CONDON WAGGONER PSY.D.
NPI 1275867418
Psychologist - Clinical in Hermosa Beach, CA

Active since September 21, 2009
2200 PACIFIC COAST HWY STE 215, HERMOSA BEACH, CA 90254(310) 567-0456 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Condon Waggoner Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY CONDON WAGGONER PSY.D. (NPI 1275867418) is an individual clinical provider in Hermosa Beach, California, licensed in California (PSY 24570) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1275867418
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KELLY CONDON WAGGONERCredential: PSY.D.
Location Address2200 PACIFIC COAST HWY STE 215Hermosa Beach, CA 90254-2701
Mailing Address2200 Pacific Coast Hwy Ste 215Hermosa Beach, CA 90254-2701 · (310) 567-0456
Phone(310) 567-0456
Sole ProprietorYes
Enumeration DateSeptember 21, 2009
Last NPPES UpdateSeptember 29, 2011
✔ NPI 1275867418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY 24570
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2200 PACIFIC COAST HWY STE 215, Hermosa Beach, CA 90254
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Other Names 1

Former Name (1)Kelly Christine Condon

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTLINE SURGERY CENTER OF CALIFORNIA PC
Surgery
2200 PACIFIC COAST HWY STE 215
HERMOSA BEACH, CA 90254
Los Angeles County (424) 332-1574
EVELYN ANN JACOBSON LMFT
Marriage & Family Therapist
2200 PACIFIC COAST HWY STE 215
HERMOSA BEACH, CA 90254
Los Angeles County (310) 701-9541
GARY G TSE MD INC
Radiology (Diagnostic Radiology)
2200 PACIFIC COAST HWY STE 215
HERMOSA BEACH, CA 90254
Los Angeles County (424) 332-1574
CHELSEA FIDAI MD INC
Dermatology
2200 PACIFIC COAST HWY STE 215
HERMOSA BEACH, CA 90254
Los Angeles County (310) 927-6075
CHELSEA GRIMES FIDAI M.D.
Dermatology (MOHS-Micrographic Surgery)
2200 PACIFIC COAST HWY STE 215
HERMOSA BEACH, CA 90254
Los Angeles County (424) 332-1574
COASTLINE SURGERY CENTER OF CALIFORNIA PC
Clinic/Center (Ambulatory Surgical)
2200 PACIFIC COAST HWY STE 215
HERMOSA BEACH, CA 90254
Los Angeles County (424) 332-1574
DR. MICHELE LORRAINE BLUME PSY.D.
Psychologist
2200 PACIFIC COAST HWY STE 215
HERMOSA BEACH, CA 90254
Los Angeles County (714) 357-6500
CHRISTINE WHEATLEY HARTNEY LMFT
Marriage & Family Therapist
2200 PACIFIC COAST HWY STE 215
HERMOSA BEACH, CA 90254
Los Angeles County (310) 617-5241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Waggoner's NPI number?

The NPI number for Kelly Waggoner is 1275867418. It was assigned to this individual provider in the NPPES registry on September 21, 2009. The provider is also known as Kelly Christine Condon.

Where is Kelly Waggoner located?

Kelly Waggoner practices at 2200 Pacific Coast Hwy Ste 215, Hermosa Beach, CA 90254. The listed phone number is (310) 567-0456.

What is Kelly Waggoner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kelly Waggoner was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.