Rebecca Kennedy, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6291 Issued in FL

Practice address

310 E Government St Ste C-2
Pensacola, FL 32502-6508

Phone

(850) 261-5216

NPI assigned

Feb 18, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1447499223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E GOVERNMENT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026098",
            "telephone_number": "850-266-5205",
            "fax_number": "855-716-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E GOVERNMENT ST STE C-2",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026508",
            "telephone_number": "850-261-5216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1576 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048616",
            "country_code": "US",
            "telephone_number": "850-478-3888",
            "fax_number": "850-478-0914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Spencer Kennedy, DO
• Joseph Kennedy, BA
• Katie Alyssa Kennedy, APRN
• Mark Kennedy, PHARM D
• Peter Louis Kennedy, M.D.
• Sheryl Kennedy, LMHC
• Vanessa Kennedy, RN
• Sarah Ashley Kent
• Theresa M Keohane, ARNP
• Tonya Kerchoff, LMHC

• Psychologist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.