Julia Marie Kennedy, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1084 Issued in NM

Practice address

3939 San Pedro Dr NE
Albuquerque, NM 87110-8900

Phone

(505) 379-2709

NPI assigned

Oct 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Reflections Psychological Services, LLC

  • Psychologist
  • Albuquerque, NM
  • NPI 1932507365
  NPD (past) Authorized official

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579996800000",
    "number": "1356779912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FISCHER LN",
            "city": "TIJERAS",
            "state": "NM",
            "postal_code": "870598203",
            "telephone_number": "505-379-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 SAN PEDRO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108900",
            "telephone_number": "505-379-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JULIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "1084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11703482",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyce Kennedy-Curl, LPCC
• Amber Lynn Kennedy, BCBA
• Avery Imara Kennedy, APRN, BC
• Christina Kennedy, MS CCC-SLP
• Elizabeth Ann Kennedy, COTA/L
• Kathleen Kennedy
• Kristin Kennedy, LADAC
• Kylee Dawn Kennedy, MS CF-SLP
• Melissa Howell Kennedy, M.D.
• Rachel Kennedy

• Clinical Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; 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.