Tracy Heilman Kennedy, PHD
Individual provider Active NPI School Psychologist · Jefferson, SD
NPI 1962352971 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1962352971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 822 Brookside Dr
Jefferson, SD 57038-6891 - Phone
- (712) 223-7598
- NPI assigned
- Jan 29, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Yes |
Addresses
Primary practice location
822 Brookside Dr
Jefferson, SD 57038-6891
Mailing address
822 Brookside Dr
Jefferson, SD 57038-6891
Other providers in Jefferson, SD
All providers in Jefferson, SD · School Psychologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.