Individual provider Active NPI

Chad Kennedy

  • Psychiatric/Mental Health Nurse Practitioner
  • Troy, OH
National Provider Identifier
1366805178
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.019438 Issued in OH
Practice address
1900 W Stanfield Rd Ste 101
Troy, OH 45373-2329
Phone
(937) 552-5598
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.019438 OH Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN364934 OH

Addresses

Primary practice location

1900 W Stanfield Rd Ste 101
Troy, OH 45373-2329

Mailing address

601 Acadia CT
Troy, OH 45373-5416
Phone (937) 552-5598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161109000902 OH Practitioner - Nurse Practitioner 7315226628 Reassigns benefits to 3 organizations
Practice locations: Huber Heights, OH

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1900 W Stanfield Rd
Troy, OH 45373-2329
Phone (937) 552-5598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN364934OHMDPsychiatric/Mental Health Registered Nurse
APRN.CNP.019438OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elighten Therapies LLC Psychiatric/Mental Health CurrentSince Mar 1, 2024 Accepting new patients
Woodstream Wellness Psychiatric/Mental Health CurrentSince May 15, 2021 Accepting new patients
Mahajan Therapeutics, LLC CurrentSince Sep 26, 2016 Accepting new patients
WS Wellness LLC Psychiatric/Mental Health PastSince Aug 1, 2023 Accepting new patients

Locations

1911 Old Fairfield Rd
Ste 310
Beavercreek, OH 45432
Phone (937) 759-0545

6300 N Main St
Dayton, OH 45415
Phone (937) 275-1500

9049 Springboro Pike
Ste A
Miamisburg, OH 45342
Phone (937) 759-0545

9049 Springboro Pike
Miamisburg, OH 45342
Phone (937) 759-0545

110 S Stanfield Rd
Ste C
Troy, OH 45373
Phone (937) 787-6859

1900 W Stanfield Rd
Troy, OH 45373
Phone (937) 210-9736

1900 W Stanfield Rd
Ste 101
Troy, OH 45373
Phone (937) 552-5598

110 S Stanfield Rd
Troy, OH 45373
Phone (937) 335-5991

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1366805178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ACADIA CT",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453735416",
            "telephone_number": "937-552-5598",
            "fax_number": "937-553-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W STANFIELD RD STE 101",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732329",
            "telephone_number": "937-552-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.019438",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN364934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.