Active NPI
Monica M. Kennedy, M.D.
- Psychiatry Physician
- Cincinnati, OH
National Provider Identifier
1962432575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35053195
- Practice address
- 7495 State Road
340
Cincinnati, OH 45255-6402 - Phone
- (513) 232-3400
- Fax
- (513) 232-1900
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35053195 | OH | Primary |
Addresses
Primary practice location
7495 State Road
340
Cincinnati, OH 45255-6402
Mailing address
7495 State Road
340
Cincinnati, OH 45255-6402
Phone (513) 232-3400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100043180 | Medicaid | KY | |
| 000000278038 | Other | OH | ANTHEM |
| 165950000 | Other | OH | MAGELLAN |
| 0644897 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35053195 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Elizabeth Medical Center, Inc | Past | Accepting new patients | |
| Rodney E. Vivian MD Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Cincinnati, OH
- NPI 1003993346
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327104000000",
"number": "1962432575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7495 STATE ROAD",
"address_2": "340",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452556402",
"telephone_number": "513-232-3400",
"fax_number": "513-232-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7495 STATE ROAD",
"address_2": "340",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452556402",
"telephone_number": "513-232-3400",
"fax_number": "513-232-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "MONICA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2012-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35053195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100043180",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000278038",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "165950000",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0644897",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.