Organization Active NPI

Madison Kennedy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakland, CA
National Provider Identifier
1356021422
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MADISON KENNEDY, LLC
Practice address
971 41St St Unit 118
Oakland, CA 94608-3997
Phone
(714) 398-9745
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Madison J GenoveseNPI 1801484837
Title
LPCC
Phone
(714) 398-9745

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

971 41St St Unit 118
Oakland, CA 94608-3997

Mailing address

971 41St St Unit 118
Oakland, CA 94608-3997
Phone (714) 398-9745

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1356021422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 41ST ST UNIT 118",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946083997",
            "telephone_number": "714-398-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 41ST ST UNIT 118",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946083997",
            "telephone_number": "714-398-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON KENNEDY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "GENOVESE",
        "authorized_official_first_name": "MADISON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LPCC",
        "authorized_official_telephone_number": "714-398-9745"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.