Kennedy Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

000003822 Issued in WA

Legal business name

KENNEDY PSYCHOLOGICAL SERVICES

Practice address

155 NE 100TH St
Seattle, WA 98125-8012

Phone

(206) 619-9833

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Jane Kennedy, PHD

Title

President/Clinical Psychologist

Phone

(206) 619-9833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1174922322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 E FLORENCE CT",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124936",
            "telephone_number": "206-619-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NE 100TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981258012",
            "telephone_number": "206-619-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "206-619-9833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "000003822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Kendra, LMT
• Sarah A Kendziorski, LMT
• Kenealey Hearing LLC
• Zachariah Kenealey
• Brooke Ann Kennaugh, MA
• Kennedy Therapy
• Alison Colleen Kennedy, LMP
• Allison Kennedy, LMHC
• Amy Jo Kennedy, M.D.
• Brandon Kennedy

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.