Active NPI
Jovan Kendrick
- Adult Development & Aging Psychologist
- Columbus, OH
National Provider Identifier
1407711757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Development & Aging Psychologist
- Practice address
- 2116 Lantern Dr Apt C
Columbus, OH 43224-5006 - Phone
- (614) 312-4863
- NPI assigned
- Dec 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | Primary |
Addresses
Primary practice location
2116 Lantern Dr Apt C
Columbus, OH 43224-5006
Mailing address
2116 Lantern Dr Apt C
Columbus, OH 43224-5006
Phone (614) 312-4863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1407711757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 LANTERN DR APT C",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432245006",
"telephone_number": "614-312-4863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 LANTERN DR APT C",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432245006",
"telephone_number": "614-312-4863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDRICK",
"first_name": "JOVAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-18",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.