Active NPI
Nicole Marie Kenney, PSYCHOLOGY, B.S.
- Case Manager/Care Coordinator
- New York, NY
National Provider Identifier
1629482518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 447 W 47TH St
Suite 1
New York, NY 10036-2453 - Phone
- (732) 829-1837
- NPI assigned
- Jun 18, 2014
- Last updated
- Jul 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
447 W 47TH St
Suite 1
New York, NY 10036-2453
Mailing address
61 Clive St
Metuchen, NJ 08840-1039
Phone (732) 829-1837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Advancement Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Metuchen, NJ
- NPI 1801201140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1629482518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 CLIVE ST",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401039",
"telephone_number": "732-829-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 W 47TH ST",
"address_2": "SUITE 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100362453",
"telephone_number": "732-829-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "PSYCHOLOGY, B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"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 Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.