Active NPI
Karen D Kennedy, MD
- Child & Adolescent Psychiatry Physician
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD045348L
- Practice address
- 283 S Butler Rd
Lebanon, PA 17042-8939 - Phone
- (717) 273-8871
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD045348L | PA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD045348L | PA | Primary |
Addresses
Primary practice location
283 S Butler Rd
Lebanon, PA 17042-8939
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
1407 Williams Rd
York, PA 17402-9000
Phone (717) 845-2482
Other practice location 2
169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 733-0311
Other practice location 3
1101 Edgar St
York, PA 17403-2862
Phone (717) 851-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001714500 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Pennsylvania State University College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Edgar St
York, PA 17403-2862
1101 Edgar St D
Wellspan Surgical Associates
York, PA 17403-2862
Phone (717) 851-2924
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
- Wellspan York Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philhaven | Current | Accepting new patients | |
| York Hospital | Psychiatry | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| York Hospital | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Philhaven | Psychiatry | Current | Accepting new patients |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
785 5th Ave
Ste 3
Chambersburg, PA 17201
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
6375 Chambersburg Rd
Fayetteville, PA 17222
Phone (717) 352-2721
2501 Oregon Pike
Ste 113
Lancaster, PA 17601
Phone (717) 735-1954
283 S Butler Rd
Lebanon, PA 17042
204 Hathaway Park
Lebanon, PA 17042
Phone (717) 274-9777
1600 S George St
York, PA 17403
Phone (717) 848-3615
605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
1101 Edgar St
York, PA 17403
Phone (717) 812-4602
3550 Concord Rd
York, PA 17402
Phone (717) 851-1546
1407 Williams Rd
York, PA 17402
Phone (717) 845-2482
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- kkennedy13757@wellspan.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Psychiatry Physician
- Lebanon, PA
- NPI 1043316441
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
- Psychiatric Hospital
- Lebanon, PA
- NPI 1972598076
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- York, PA
- NPI 1114885480
Psychiatry
-
- Family Medicine Physician
- York, PA
- NPI 1598862716
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1295762003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 S BUTLER RD",
"city": "LEBANON",
"state": "PA",
"postal_code": "170428939",
"telephone_number": "717-273-8871"
}
],
"practiceLocations": [
{
"address_1": "1407 Williams Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174029000",
"country_code": "US",
"telephone_number": "717-845-2482",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169 Martin Ave",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175221734",
"country_code": "US",
"telephone_number": "717-733-0311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Edgar St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174032862",
"country_code": "US",
"telephone_number": "717-851-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "KAREN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD045348L",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD045348L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001714500",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.