Kyle Kennedy

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

39561 Issued in TX

Practice address

6603 Oak Hill Blvd Ste B
Tyler, TX 75703-0586

Phone

(903) 213-2203

NPI assigned

Oct 27, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kyle Kennedy PHD LLC

  • Clinical Psychologist
  • Tyler, TX
  • NPI 1700751807
  NPD Authorized official

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1699492827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 OAK HILL BLVD STE B",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030586",
            "telephone_number": "317-874-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 OAK HILL BLVD STE B",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030586",
            "telephone_number": "903-213-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33675",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kenna, RRT
• Ashlynn Kennard, COTA
• Alexandra Ricker Kennedy, DDS, MS
• Bruna Lemos Kennedy, DDS
• Jasmine Kennedy
• Tamera Kennedy
• Grace Opoku Kenney, DO
• Benjamin Kensing, MD
• Kent B Boozer DDS PA
• James Edward Kent, DPM

• Clinical Psychologist in Tyler, TX
• Providers in Tyler, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.