Active NPI
RJB Medical, P.C.
Doing business as Innerwell
- Psychiatry Physician
- New York, NY
National Provider Identifier
1114630027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- RJB MEDICAL, P.C.
- Doing business as
- Innerwell
- Practice address
- 220 5TH Ave FL 11
New York, NY 10001-8017 - Phone
- (844) 942-5424
- NPI assigned
- Jan 5, 2023
- Last updated
- Apr 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Kennedy
- Title
- Coo
- Phone
- (212) 620-3053
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
220 5TH Ave FL 11
New York, NY 10001-8017
Mailing address
169 Madison Ave Ste 15824
New York, NY 10016-5101
Other names 1
- Innerwell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- RJB Medical PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Utica, NY
- NPI 1649055922
-
- Mental Health Counselor
- Buffalo, NY
- NPI 1689754400
-
- Physician Assistant
- New York, NY
- NPI 1629567268
-
- Psychiatry Physician
- Newport Beach, CA
- NPI 1669453262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1114630027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 15824",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"fax_number": "844-440-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 5TH AVE FL 11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100018017",
"telephone_number": "844-942-5424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RJB MEDICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-05",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "212-620-3053"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Innerwell",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.