Kerri Janine Kennard, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

B1-0000440 Issued in DE

Practice address

26876 Sussex Hwy
Unit 2
Seaford, DE 19973

Phone

(302) 628-8740

Fax

(302) 628-8760

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1003944760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199730576",
            "telephone_number": "302-628-8740",
            "fax_number": "302-682-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26876 SUSSEX HWY",
            "address_2": "UNIT 2",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "19973",
            "telephone_number": "302-628-8740",
            "fax_number": "302-628-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNARD",
        "first_name": "KERRI",
        "middle_name": "JANINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "DE",
            "license": "B1-0000440",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000037339",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPCI PIN",
            "identifier": "100035675",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Robert Kastner, LPCMH
• Gurjeet Kaur, M.D.
• Olivia Keenley
• Susan Carey Kelley
• Stephanie Kenefick
• Kathleen Kenney, ATC
• Melissa M Kestler, DNP, FNP-BC
• Kiggundu Radiation Therapy, PA
• Nourhan Arafa Kika, M.D.
• Kingdom Kare Foundation

• All providers in Seaford, DE
• Clinical Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.