Active NPI
James R. Kinney Jr., Psy.D., P.L.L.C.
- Clinical Child & Adolescent Psychologist
- Dunedin, FL
National Provider Identifier
1669872347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PY9042
- Legal business name
- JAMES R. KINNEY JR., PSY.D., P.L.L.C.
- Practice address
- 2275 Highwood CT
Dunedin, FL 34698-6318 - Phone
- (727) 463-2843
- Fax
- (727) 784-1890
- NPI assigned
- Aug 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James R. Kinney Jr., PSY.D.
- Title
- Psychologist
- Phone
- (727) 463-2863
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY9042 | FL | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PY9042 | FL | |
| Clinical Psychologist | 103TC0700X | PY9042 | FL | |
| Counseling Psychologist | 103TC1900X | PY9042 | FL | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY9042 | FL | Primary |
| Family Psychologist | 103TF0000X | PY9042 | FL |
Addresses
Primary practice location
2275 Highwood CT
Dunedin, FL 34698-6318
Mailing address
2410 Northside Dr
Clearwater, FL 33761-2236
Phone (727) 499-0351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Child & Adolescent Psychologist
- Dunedin, FL
- NPI 1245587831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710201600000",
"number": "1669872347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 NORTHSIDE DR",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612236",
"telephone_number": "727-499-0351",
"fax_number": "727-223-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 HIGHWOOD CT",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346986318",
"telephone_number": "727-463-2843",
"fax_number": "727-784-1890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES R. KINNEY JR., PSY.D., P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-29",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A",
"authorized_official_last_name": "KINNEY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "727-463-2863",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "FL",
"license": "PY9042",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "PY9042",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9042",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY9042",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY9042",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": "FL",
"license": "PY9042",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.