Judith M. Kinney, PH.D

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

03359 Issued in MD

Practice address

20 Crossroads Dr Ste 104
Owings Mills, MD 21117-5480

Phone

(410) 371-5092

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Family Health Centers of Baltimore

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1346286713
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1740396456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR STE 104",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175480",
            "telephone_number": "410-371-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR STE 104",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175480",
            "telephone_number": "410-371-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "JUDITH",
        "middle_name": "M.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "03359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254810100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca King
• Suman Rao King, PHD
• Kingdom Medicine Administrative Services, Inc.
• Rebecca Kinloch
• Kinney Consulting, Inc.
• Kira Evans Toulson, DDS, LLC
• Gary Arnold Klein, MD
• Leonid A Klopouh, M.D.
• Faye Della Klupt, OTR L
• Cynthia Knezich, FNP

• Clinical Child & Adolescent Psychologist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Clinical Child & Adolescent Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.