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FRED KUTNICK
NPI 1669011276
Counselor - Mental Health in San Diego, CA

Active since December 30, 2019
3665 KEARNY VILLA RD STE 165, SAN DIEGO, CA 92123(858) 966-8471 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2021, Dec 30, 2019 (2 updates tracked since 2019).

About Fred Kutnick NPPES

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

FRED KUTNICK (NPI 1669011276) is an individual mental health provider in San Diego, California, licensed in California (ASW92260) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1669011276
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameFRED KUTNICK
Location Address3665 KEARNY VILLA RD STE 165San Diego, CA 92123-1954
Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (949) 833-2237
Phone(858) 966-8471
Sole ProprietorNo
Enumeration DateDecember 30, 2019
Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
✔ NPI 1669011276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · ASW92260
3665 KEARNY VILLA RD STE 165, San Diego, CA 92123
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Other Providers at the Same Location NPPES 12

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

JOCELYN MARQUEZ
Rehabilitation Counselor
3665 KEARNY VILLA RD STE 165
SAN DIEGO, CA 92123
San Diego County (858) 966-5832
MERENCIA NOLINDA HENSON
Social Worker (Clinical)
3665 KEARNY VILLA RD STE 165
SAN DIEGO, CA 92123
San Diego County (619) 818-7359
MOLLY ROBB MSW
Social Worker (Clinical)
3665 KEARNY VILLA RD STE 165
SAN DIEGO, CA 92123
San Diego County (949) 542-9501
LEAH N DOWIE
Rehabilitation Practitioner
3665 KEARNY VILLA RD STE 165
SAN DIEGO, CA 92123
San Diego County (858) 966-5832
STEPHANIE HERNANDEZ
Rehabilitation Practitioner
3665 KEARNY VILLA RD STE 165
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
LISSA LUCERO
Case Manager/Care Coordinator
3665 KEARNY VILLA RD STE 165
SAN DIEGO, CA 92123
San Diego County (619) 890-7712
JASMINE CHOW AMFT
Marriage & Family Therapist
3665 KEARNY VILLA RD STE 165
SAN DIEGO, CA 92123
San Diego County (858) 966-5832
MS. MOLLY MARIE FARROW IMF
Marriage & Family Therapist
3665 KEARNY VILLA RD STE 165
SAN DIEGO, CA 92123
San Diego County (858) 349-0501

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 Fred Kutnick's NPI number?

The NPI number for Fred Kutnick is 1669011276. It was assigned to this individual provider in the NPPES registry on December 30, 2019.

Where is Fred Kutnick located?

Fred Kutnick practices at 3665 Kearny Villa Rd Ste 165, San Diego, CA 92123. The listed phone number is (858) 966-8471.

What is Fred Kutnick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Fred Kutnick was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.