DANIEL KENNEDY (NPI# 1073747507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073747507 |
| Entity Type | Individual |
| Full Name | DANIEL KENNEDY |
| Credential | PSYD |
| Practice Address |
65 Meadows Dr Glassboro NJ 08028-2424 |
| Mailing Address |
5 Christy Dr Ste 207 Chadds Ford PA 19317-9667 |
| Practice Telephone | 6099700640 |
| Mailing Telephone | 6099700640 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
37PC00376400 | NJ | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSO17612 | PA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
521800 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316487044 | Daniel Kennedy | Nurse Practitioner | 304 Northcreek Blvd, Suite 120, Goodlettsville, TN 37072-2096 | 2017-02-28 |
| 1447326590 | Daniel O'neill Kennedy | Registered Nurse | 1432 Sultan Drive, Suite 100, Fort Detrick, MD 21702-5001 | 2006-11-28 |
| 1659446714 | Daniel P Kennedy | Chiropractor | 214 W 29th St, Ste# 205, New York, NY 10001-5203 | 2006-11-22 |
| 1093809568 | Daniel J Kennedy | Internal Medicine | 1637 Westshore St, Davis, CA 95616-2973 | 2006-10-02 |
| 1437678166 | Daniel Patrick Kennedy | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-09-13 |
| 1629512900 | Daniel Kennedy | Occupational Therapist | 8559 N Line Creek Pkwy, Kansas City, MO 64154-2100 | 2016-12-06 |
| 1437560281 | Daniel Kennedy | Student in an Organized Health Care Education/Training Program | 2500 N State St, Dept of Radiology, Jackson, MS 39216-4500 | 2014-05-14 |
| 1255687174 | Daniel Michael Kennedy | Licensed Psychiatric Technician | 400 N Pepper Ave, Colton, CA 92324-1801 | 2012-07-29 |
| 1609133032 | Daniel Bernard Kennedy | Technician, Other | 7300 Klawock Hollis Highway, Klawock, AK 99925 | 2012-04-23 |
| 1518267178 | Daniel Lloyd Kennedy | Dentist | 300 Longwood Ave, Children's Hospital Boston - Department of Dentistry, Boston, MA 02115-5724 | 2010-10-29 |
| Street Address |
65 MEADOWS DR |
| City | GLASSBORO |
| State | NJ |
| Zip Code | 08028-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508320581 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1328 East Boulevard, Glassboro, NJ 08028 | 2019-01-24 |
| 1427512599 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pennsylvania Avenue, Glassboro, NJ 08028 | 2019-01-23 |
| 1639641210 | Seth Frost | Counselor | 2 Delsea Dr S., Glassboro, NJ 08028 | 2018-12-20 |
| 1083195788 | Strong Tower Social Services, Inc | Clinic/Center | 341 Fish Pond Road, Glassboro, NJ 08028 | 2018-08-22 |
| 1023506730 | Tri-county Support Coordination LLC | Case Management | 275 E High St, Ste S364, Glassboro, NJ 08028 | 2018-04-27 |
| 1558872721 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 32 Reading Street, Apt. #2, Glassboro, NJ 08028 | 2017-10-16 |
| 1073023545 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 960 North Main Street, Glassboro, NJ 08028 | 2017-10-10 |
| 1366978645 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 Aura Rd, Glassboro, NJ 08028 | 2017-05-05 |
| 1831623594 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3 Potsdam Court, Glassboro, NJ 08028 | 2017-04-19 |
| 1003340761 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 113 Stoneham Drive, Glassboro, NJ 08028 | 2017-04-19 |
| Find all providers in zip 08028 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980371 | Eric Rose | Psychologist | 53 Audubon Rd, Teaneck, NJ 07666-5526 | 2020-10-23 |
| 1629682687 | Cbt Center of Central Nj | Psychologist | 16 Pearl Street, Suite 101 Cbt Center of Central Nj LLC, Metuchen, NJ 08840 | 2020-09-06 |
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1659980944 | Lisa Spatafore | Psychologist | 2083 Lawrence Rd, Lawrenceville, NJ 08648-3001 | 2020-07-23 |
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1952927634 | Gordon Presley | Psychologist | 317 George St. Suite 320, New Brunswick, NJ 08901-2091 | 2020-06-18 |
| 1659996692 | Thrive Psychology Center, LLC | Psychologist | 699 Cross St Ste 110, Lakewood, NJ 08701-4681 | 2020-06-16 |
| 1871117499 | Haven Psychotherapy LLC | Psychologist | 25 Terrell Rd, Lambertville, NJ 08530-3428 | 2020-05-29 |
| 1447873781 | Elements Psychological Services, LLC | Psychologist | 36 Cottage Ln, Upper Saddle River, NJ 07458-1306 | 2020-05-21 |
| 1285255398 | Amanda Addolorato Macdonald | Psychologist | 12 2nd St, Hackensack, NJ 07601-2009 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.