Joseph Kennell PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

557 Issued in WV

Legal business name

JOSEPH KENNELL PHD

Practice address

3705 Emerson Ave
Parkersburg, WV 26104-1118

Phone

(304) 865-0272

Fax

(304) 865-0265

NPI assigned

Jul 21, 2014

Last updated

Jul 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie M Tippens

Title

Office Manager

Phone

(304) 865-0274

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Kennell, PHD

  • Psychologist
  • Parkersburg, WV
  • NPI 1649305988
  Medicare reassignment NPD
• David M Schaffer, CSW, MSW, LICSW

  • Clinical Social Worker
  • Parkersburg, WV
  • NPI 1437115151
  NPD (past)

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1346657426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 EMERSON AVEUNE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041118",
            "telephone_number": "304-865-0272",
            "fax_number": "304-865-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041118",
            "telephone_number": "304-865-0272",
            "fax_number": "304-865-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH KENNELL PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "TIPPENS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-865-0274"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163900000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Jones, BS, RN, AMAP RN
• Nancy Lee Jones
• Natalie Denee Jones
• Norrell Jenae Jones, PMHNP-BC
• Joseph C. Darrow Jr. MD LLC (Physicians Foot Care)
• Nicole Joseph
• Eva Ruth Joy
• Kendra Renea Joyce, THERAPIST
• Tabitha Leigh Justice, DDS
• Christian Timothy Kaftanic, DO

• Psychologist in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.