Laura Price Kennedy, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014134-1 Issued in NY

Practice address

28 McBride Place
Goshen, NY 10924-2107

Phone

(845) 294-3757

Fax

(845) 294-5337

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Psychological Services of Orange County, P.C.

  • Psychologist
  • Goshen, NY
  • NPI 1346457322
  Medicare reassignment NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295942209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "address_2": "28 MCBRIDE PLACE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242107",
            "telephone_number": "845-294-3757",
            "fax_number": "845-294-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MCBRIDE PLACE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242107",
            "telephone_number": "845-294-3757",
            "fax_number": "845-294-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LAURA",
        "middle_name": "PRICE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014134-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hratch Kazanjian, M.D.
• Laura Beth Keller
• Linda S Keller, FNP
• Flynn M Kelly
• Nicole K Kelly, PA
• Katherine Grady Kennett, RN
• Karlene H Kerr, RN
• Javed I Khokhar, RPH
• Kids Play Occupational Therapy, PLLC
• Kids Play Therapy LLC

• Clinical Psychologist in Goshen, NY
• Providers in Goshen, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.