Cathy Lynn Kennedy, PCNS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

PPNS00047 Issued in RI

Practice address

2756 Post Rd
Attn: Billing Office
Warwick, RI 02886-3003

Phone

(401) 691-6000

Fax

(401) 738-7718

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Behavioral Health IncGroup PAC ID 4082528245, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrive Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Warwick, RI
  • NPI 1386671535
  Medicare reassignment Care Compare group
• South County Wellness Group, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Kingstown, RI
  • NPI 1861555690
  NPD (past) Authorized official
• St. Joseph Health Services of Rhode Island

  • Psychiatry Physician
  • North Providence, RI
  • NPI 1326122557
  NPD (past)
• St. Joseph Health Services of Rhode Island

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1356478002
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043260268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 POST RD",
            "address_2": "ATTN: MARGARET TWEEDY",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028863003",
            "telephone_number": "401-691-6000",
            "fax_number": "401-739-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 POST RD",
            "address_2": "ATTN: BILLING OFFICE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028863003",
            "telephone_number": "401-691-6000",
            "fax_number": "401-738-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CATHY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "PPNS00047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN23696",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lyons Kelly, D.O.
• Katrina Ellen Kelly
• Mary Catherine Kelly, LMHC, RN
• Michael Stephen Kelly, D.O.
• Patrick Y Kelly
• Kyla Kennedy, PSYD
• Susan Lynette Kennedy, LCSW
• Theresa Kennedy
• Ellen Kenner, PH.D.
• Kenneth H. Salzsieder,MD LTD

• Psychiatric/Mental Health Nurse Practitioner in Warwick, RI
• Providers in Warwick, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.