Kensho Wellness Group, LLC.

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

KENSHO WELLNESS GROUP, LLC.

Practice address

3550 Powerline Rd
Ft Lauderdale, FL 33309-5919

Phone

(855) 972-8674

NPI assigned

Jan 7, 2014

Organization subpart

No

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

Authorized official

Name

Judd Brazer

Title

General Manager

Phone

(800) 990-0340

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1154743391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 POWERLINE RD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095919",
            "telephone_number": "855-972-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 POWERLINE RD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095919",
            "telephone_number": "855-972-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSHO WELLNESS GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "BRAZER",
        "authorized_official_first_name": "JUDD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "800-990-0340"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierro Kennedy
• Yehudis Kenner
• Kenneth H Farrell M.D. PA
• Amy Kenney, LCSW
• Barbara L Kenney, CRNA
• Glen Kenyon
• Andre T Kerr, PA
• Matthew James Kerr, RD
• Kerrianne Bresnan, Psy.D., LLC
• Kevin J Kessler, MD

• Group Psychotherapy Psychologist in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Group Psychotherapy Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.