Kendall Psychological Associates, P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

8218 Issued in MA

Legal business name

KENDALL PSYCHOLOGICAL ASSOCIATES, P.C.

Practice address

One Kendall Square
Suite B14403
Cambridge, MA 02139

Phone

(617) 388-7920

Fax

(617) 649-8846

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ethan L Seidman, PH.D.

Title

Director

Phone

(617) 388-7920

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1588927495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE KENDALL SQUARE",
            "address_2": "SUITE B14403",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-388-7920",
            "fax_number": "617-649-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE KENDALL SQUARE",
            "address_2": "SUITE B14403",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-388-7920",
            "fax_number": "617-649-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL PSYCHOLOGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "SEIDMAN",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-388-7920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "8218",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Anne Kelso, PH.D.
• Michael Donnell Kelso Jr., MD
• Damen Kelton, MSW, LICSW
• David Dix Kemmerer, PH.D.
• John Warner Kenagy, M.D.
• Kendall Square Therapeutic Health Center, P.C. (Harvard Square Chiropractic)
• Katelyn Kendrigan
• Dannielle P. Kennedy, PHD
• Mary S. Kennedy, MSW
• Tara L Kenny, CPM

• Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.