Jennifer Kallenborn, MS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

500 E Second St
Cumberland, MD 21502-4297

Phone

(301) 777-1755

NPI assigned

Sep 17, 2024

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1023845732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E SECOND ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024297",
            "telephone_number": "301-777-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E SECOND ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024297",
            "telephone_number": "301-777-1755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14401 Barton Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215025899",
            "country_code": "US",
            "telephone_number": "301-729-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Parkside Blvd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215027498",
            "country_code": "US",
            "telephone_number": "301-729-0085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 Church St",
            "address_purpose": "LOCATION",
            "city": "Westernport",
            "state": "MD",
            "postal_code": "215621499",
            "country_code": "US",
            "telephone_number": "301-359-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALLENBORN",
        "first_name": "JENNIFER",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava G Joubert, MD
• Juan a Arrisueno MD PA
• Judy Stone, MD, PA
• Kyle Kaiser, CSCAD
• Suzanne Marie Kalinoski, OTR/L
• Surender Kanaparthi
• Vamsi Kanumuri, M.D.
• Justina Katterheinrich, AUD
• Jill P Keefer, LMSW
• Christy Kegg, OTR

• School Psychologist in Cumberland, MD
• Providers in Cumberland, MD by specialty
• School Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.