Active NPI
Kristine Kennen-Damario, PSYD
- Clinical Psychologist
- New Britain, CT
National Provider Identifier
1639831753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 003399
- Practice address
- 14 Vine St
New Britain, CT 06052-1431 - Phone
- (914) 489-3519
- NPI assigned
- Oct 6, 2021
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 003399 | CT | Primary |
Addresses
Primary practice location
14 Vine St
New Britain, CT 06052-1431
Mailing address
PO Box 270137
West Hartford, CT 06127
Other names 1
- Dr. Kristine Kennen
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003399 | CT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1639831753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270137",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "06127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 VINE ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060521431",
"telephone_number": "914-489-3519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEN-DAMARIO",
"first_name": "KRISTINE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "003399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "KENNEN",
"prefix": "DR.",
"credential": "PSYD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.