KENNEDY PSYCHOLOGICAL SERVICES (NPI# 1174922322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174922322 |
| Entity Type | Organization |
| Organization Name | KENNEDY PSYCHOLOGICAL SERVICES |
| Practice Address |
155 Ne 100th St Seattle WA 98125-8012 |
| Mailing Address |
3432 E Florence Ct Seattle WA 98112-4936 |
| Practice Telephone | 2066199833 |
| Mailing Telephone | 2066199833 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |
| Authorized Official Name | DR. MELISSA JANE KENNEDY (PRESIDENT/CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2066199833 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
000003822 | WA | Behavioral Health & Social Service Providers |
| Street Address |
155 NE 100TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-8012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397455 | David H Barr | Ophthalmology | 155 Ne 100th St, Suite 110, Seattle, WA 98125-8012 | 2005-12-16 |
| 1588047419 | Nutrition & Wellness Works, Inc. | Dietitian, Registered | 155 Ne 100th St, 402, Seattle, WA 98125-8012 | 2015-07-09 |
| 1164805248 | Clinician Link, LLC | Naturopath | 155 Ne 100th St, 402, Seattle, WA 98125-8012 | 2015-07-07 |
| 1710398508 | Fedelta Care Solutions | Home Health | 155 Ne 100th St, Suite 200, Seattle, WA 98125-8012 | 2014-05-14 |
| 1740583566 | Maysoft, LLC | Physical Medicine & Rehabilitation | 155 Ne 100th St, Ste 402, Seattle, WA 98125-8012 | 2010-12-16 |
| 1346578952 | Melyssa Kay Higgins | Psychologist | 155 Ne 100th St, 306, Seattle, WA 98125-8012 | 2009-11-20 |
| 1811175086 | New Options Inc. | Counselor | 155 Ne 100th St, Suite 402, Seattle, WA 98125-8012 | 2008-02-09 |
| 1760539951 | Leslie A Degasparis | Naturopath | 155 Ne 100th St, Suite 402, Seattle, WA 98125-8012 | 2007-01-03 |
| 1588741961 | Melissa J. Kennedy | Psychologist | 155 Ne 100th St, Suite 220, Seattle, WA 98125-8012 | 2006-11-01 |
| 1750478897 | Frank Lin Robinson | Counselor | 155 Ne 100th St, Suite # 220, Seattle, WA 98125-8012 | 2006-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
| Find all providers in zip 98125 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
| 1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
| 1659910057 | Caitlin Stanaway | Psychologist | 7615 S 134th St, Seattle, WA 98178-5112 | 2020-01-02 |
| 1407495211 | Ellen A. Begley, Ph.d. Pllc | Psychologist | 3417 Fremont Ave N Ste 316, Seattle, WA 98103-3411 | 2019-12-26 |
| 1649735580 | Jennifer Savion | Psychologist | 2800 E Madison St Ste 306, Seattle, WA 98112-4865 | 2019-02-05 |
| 1073084935 | Ann Marie Roepke | Psychologist | 4741 Rainier Ave S, Seattle, WA 98118-1657 | 2018-12-17 |
| 1801399431 | Jessica Lynn Peterson | Psychologist | Chdd 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2018-03-09 |
| 1144676842 | Alisa Horwitz | Psychologist | 2855 31st Ave W, Seattle, WA 98199-2722 | 2016-05-11 |
| 1982065611 | Sara Eagan | Psychologist | 2470 Westlake Ave N Ste 102, Seattle, WA 98109 | 2016-03-08 |
| 1679933899 | Yu Ding | Psychologist | 330 3rd Ave W, 520, Seattle, WA 98119-4180 | 2016-03-01 |
| Find all providers in SEATTLE | ||||
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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.