Judith A Kelleher-Merend, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

046374 Issued in NY

Practice address

50 Dayton LN
Andrus Children's Center Mental Health Division
Peekskill, NY 10566-2860

Phone

(914) 736-3371

Fax

(914) 736-3372

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Julia Dyckman Andrus Memorial, Inc.

  dba Andrus Childrens Center

  • Community/Behavioral Health Agency
  • White Plains, NY
  • NPI 1285628552
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1508818030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 N BROADWAY",
            "address_2": "ANDRUS CHILDREN'S CENTER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011108",
            "telephone_number": "914-965-3700",
            "fax_number": "914-965-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DAYTON LN",
            "address_2": "ANDRUS CHILDREN'S CENTER MENTAL HEALTH DIVISION",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662860",
            "telephone_number": "914-736-3371",
            "fax_number": "914-736-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER-MEREND",
        "first_name": "JUDITH",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "046374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICAID #",
            "identifier": "00355940",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JDAM NPI",
            "identifier": "1285628552",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LCSW LICENSE #",
            "identifier": "046374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul J Kaye
• Laura Veronica Kazukenus, PHARMD
• Frederick W. Keane, LCSW
• Barbara Ellen Kearney, LMHC
• Maryellen Keefe, DMD
• Anne W Kelsey, LMSW
• Jonathan Kenney
• Diana D. Ketchum, STUDENT
• Kiddin Around Town Inc
• Ann Mary King, RN

• Clinical Social Worker in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.