NPIMap

Organization Active NPI

Kennedy Psychiatric PC

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1780306290
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Dr. Nigel Iain Kennedy, MDNPI 1538576277
Title
President
Phone
(929) 505-0504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

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

Mailing address

120 Birchwood Ave
Nyack, NY 10960-1202
Phone (929) 434-0724

Other practice location 1

70 N Broadway
Nyack, NY 10960-2652
Phone (929) 505-0504

Other practice location 2

120 Birchwood Ave
Nyack, NY 10960-1202
Phone (929) 434-0724

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • 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.