Andrew Kenagy

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3073 Issued in OR

Practice address

2266 McGilchrist St SE Ste 220
Salem, OR 97302-1019

Phone

(503) 272-1445

Fax

(503) 832-6238

NPI assigned

Mar 1, 2016

Last updated

Aug 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 16, 2019 through Oct 16, 2027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew Kenagy LLC

  dba Andrew G Kenagy, PsyD

  • Clinical Psychologist
  • Salem, OR
  • NPI 1336882448
  NPD Authorized official
• Mid Valley Counseling Center Inc

  • Clinical Psychologist
  • Salem, OR
  • NPI 1407039308
  NPD
• Marion County

  dba Marion County Health Department

  • Adult Mental Health Clinic/Center
  • Salem, OR
  • NPI 1528147782
  NPD (past)

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1942660196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 25TH ST SE STE 420",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 MCGILCHRIST ST SE STE 220",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021019",
            "telephone_number": "503-272-1445",
            "fax_number": "503-832-6238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 25th St SE Ste 420",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "97302",
            "country_code": "US",
            "telephone_number": "503-364-6093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENAGY",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-01",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Kelly
• Michele J Kelsey, THW CRM PSS
• Patrick Joseph Kelty, BC-HIS
• Dorin Meredith Kemmerle, MD
• Cynthia H Kemper, P.T.
• Carlin Kenagy, MS, CCC-SLP
• Jennifer Ann Kendeigh, MS
• Bobbi Gabriele Kennedy, PA-C
• Brian Dennis Kennedy, MD
• Christine Elizabeth Kennedy, EPDH

• Clinical Psychologist in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.