Active NPI
Vincent R Kennedy, DO, LLC
- Adult Mental Health Clinic/Center
- York, PA
National Provider Identifier
1265269385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- VINCENT R KENNEDY, DO, LLC
- Practice address
- 1003 N George St Ste 4
York, PA 17404-2041 - Phone
- (717) 256-1112
- NPI assigned
- Sep 14, 2024
- 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
- Dr. Vincent R Kennedy, DO
- Title
- Owner
- Phone
- (717) 256-1112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1003 N George St Ste 4
York, PA 17404-2041
Mailing address
PO Box 117
Dauphin, PA 17018-0117
Phone (717) 256-1112
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Hershey, PA
- NPI 1053764662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1265269385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117",
"city": "DAUPHIN",
"state": "PA",
"postal_code": "170180117",
"telephone_number": "717-256-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 N GEORGE ST STE 4",
"city": "YORK",
"state": "PA",
"postal_code": "174042041",
"telephone_number": "717-256-1112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCENT R KENNEDY, DO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-14",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-256-1112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.