Kennedy Psychiatric PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KENNEDY PSYCHIATRIC PC

Practice address

1160 5TH Ave Apt 112
New York, NY 10029-6933

Phone

(929) 505-0504

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nigel Iain Kennedy, MD

Title

President

Phone

(929) 505-0504

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1780306290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BIRCHWOOD AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601202",
            "telephone_number": "929-434-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 5TH AVE APT 112",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296933",
            "telephone_number": "929-505-0504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109602652",
            "country_code": "US",
            "telephone_number": "929-505-0504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Birchwood Ave",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109601202",
            "country_code": "US",
            "telephone_number": "929-434-0724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNEDY PSYCHIATRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "NIGEL",
        "authorized_official_middle_name": "IAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-505-0504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1538576277",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Kathryn Kenis, APRN
• Madeline Kenler
• Kennedy Children'S Center
• Kennedy Consulting LCSW, PC
• Kennedy Counseling
• Kennedy Radio Dispatcher Inc
• Brian Eric Kennedy-Arenivar, LMHC, LPC-S
• Abigail Kennedy-Grant, RD
• Anne Marie Kennedy, CSW
• Brett Patrick Kennedy, PSY.D.

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.