Organization Active NPI

Rebecca Kennedy, PH.D. Psychology PLLC

  • Health Service Clinic/Center
  • New York, NY
National Provider Identifier
1588939482
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
019250 Issued in NY
Legal business name
REBECCA KENNEDY, PH.D. PSYCHOLOGY PLLC
Practice address
285 West End Avenue
Suite 3Y-1
New York, NY 10023
Phone
(646) 504-3320
NPI assigned
Mar 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Rebecca Kennedy, PH.D.
Title
Psychologist
Phone
(646) 504-3320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 019250 NY Primary

Addresses

Primary practice location

285 West End Avenue
Suite 3Y-1
New York, NY 10023

Mailing address

2250 Broadway
Apt. 9D
New York, NY 10024-5800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1588939482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 BROADWAY",
            "address_2": "APT. 9D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 WEST END AVENUE",
            "address_2": "SUITE 3Y-1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "646-504-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA KENNEDY, PH.D. PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "646-504-3320",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "019250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.