Parker Kennedy Rea PSYD PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

048.0128109 Issued in VT

Legal business name

PARKER KENNEDY REA PSYD PLLC

Practice address

21 Court St
Suite 2
Montpelier, VT 05602-2812

Phone

(202) 730-6955

NPI assigned

Apr 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Parker Kennedy Rea, PSYDNPI 1780811307

Title

Principal

Phone

(202) 730-6955

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parker Kennedy Rea, PSYD

  • Clinical Psychologist
  • Montpelier, VT
  • NPI 1780811307
  NPD (past) Authorized official

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1518492800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 COURT ST",
            "address_2": "SUITE 2",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022812",
            "telephone_number": "202-730-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COURT ST",
            "address_2": "SUITE 2",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022812",
            "telephone_number": "202-730-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER KENNEDY REA PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "REA",
        "authorized_official_first_name": "PARKER",
        "authorized_official_middle_name": "KENNEDY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "202-730-6955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0128109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Overman, AUD
• John Pacheco, LPMA
• Terry Gwen Padilla, LCMHC
• Todd A Page, O.D.
• Tina Marie Parent, BS
• Partners in Integrative Healing PLLC
• Margaretta Willing Payson, LCPC
• Kristine Peeler, LCMHC
• Merin Perretta, LCMHC
• Lourdes Perry

• Clinical Psychologist in Montpelier, VT
• Providers in Montpelier, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.