Active NPI
Cara Lynn Kennedy, PHD
- Clinical Psychologist
- Takoma Park, MD
National Provider Identifier
1962745463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04733
- Practice address
- 1001 Kennebec Ave
Apt. 2
Takoma Park, MD 20912-7311 - Phone
- (202) 596-4905
- NPI assigned
- Apr 3, 2013
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04733 | MD | Primary |
Addresses
Primary practice location
1001 Kennebec Ave
Apt. 2
Takoma Park, MD 20912-7311
Mailing address
8561 Fenton St
Suite 200
Silver Spring, MD 20910-4455
Phone (202) 596-4905
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04733 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1962745463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8561 FENTON ST",
"address_2": "SUITE 200",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209104455",
"telephone_number": "202-596-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 KENNEBEC AVE",
"address_2": "APT. 2",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209127311",
"telephone_number": "202-596-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "CARA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-03",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.