Active NPI
Deborah R. Kennedy
- Technician/Technologist
- Boston, MA
National Provider Identifier
1780412486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- 1202
- Practice address
- 271 Newbury St Ste B2
Boston, MA 02116-2441 - Phone
- (617) 262-9199
- NPI assigned
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | 1202 | MA | Primary |
Addresses
Primary practice location
271 Newbury St Ste B2
Boston, MA 02116-2441
Mailing address
271 Newbury St Ste B2
Boston, MA 02116-2441
Phone (617) 262-9199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1202 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1780412486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 NEWBURY ST STE B2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162441",
"telephone_number": "617-262-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 NEWBURY ST STE B2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162441",
"telephone_number": "617-262-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "DEBORAH",
"middle_name": "R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "MA",
"license": "1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.