Kennedy Krieger Institute

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KENNEDY KRIEGER INSTITUTE

Practice address

707 N Broadway Apt 301
Baltimore, MD 21205-1832

Phone

(443) 923-1870

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Justin Edward DuffyNPI 1740024082

Title

SLP Clinical Fellow

Phone

(443) 923-3220

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Edward Duffy

  • Speech-Language Pathologist
  • Baltimore, MD
  • NPI 1740024082
  NPD Authorized official

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1275377988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 ASHLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N BROADWAY APT 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051832",
            "telephone_number": "443-923-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY KRIEGER INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "SLP CLINICAL FELLOW",
        "authorized_official_telephone_number": "443-923-3220"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Krieger Education and Communication
• Kennedy Krieger Education and Community Services, Inc.
• Kennedy Krieger Education and Community Services, Inc.
• Kennedy Krieger Education and Community Services, Inc.
• Kennedy Krieger Education and Community Services, Inc.
• Kennedy Krieger Institute
• Kennedy Krieger Institute
• Kennedy Krieger Institute
• Kennedy Krieger Institute
• Alvin Kennedy, MD

• Speech-Language Pathologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.