Organization Active NPI

Karen Zelaya-Kendall, PH.D. and Associates, LLC

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1689174161
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KAREN ZELAYA-KENDALL, PH.D. AND ASSOCIATES, LLC
Practice address
1650 Market St Ste 3600
Philadelphia, PA 19103-7334
Phone
(484) 557-2367
Fax
(484) 840-5613
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Dr. Karen Zelaya-Kendall, PH.D.NPI 1063686111
Title
Owner/Psychologist
Phone
(484) 557-2367

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1650 Market St Ste 3600
Philadelphia, PA 19103-7334

Mailing address

1650 Market St Ste 3600
Philadelphia, PA 19103-7334
Phone (484) 557-2367

Other names 1

  • Karen Zelaya-Kendall, Ph.D. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180315000036 PA Part B Supplier - Clinic/Group Practice 2365704194 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1845 Walnut St
Ste 865
Philadelphia, PA 19103
Phone (484) 557-2367

1845 Walnut St
Ste 1555
Philadelphia, PA 19103
Phone (484) 557-2367

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1689174161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MARKET ST STE 3600",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037334",
            "telephone_number": "484-557-2367",
            "fax_number": "484-840-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MARKET ST STE 3600",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037334",
            "telephone_number": "484-557-2367",
            "fax_number": "484-840-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN ZELAYA-KENDALL, PH.D. AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "ZELAYA-KENDALL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "484-557-2367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Zelaya-Kendall, Ph.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.