DR. MAUREEN CAROLYN KENNEDY (NPI# 1316022015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316022015 |
| Entity Type | Individual |
| Full Name | DR. MAUREEN CAROLYN KENNEDY |
| Credential | PSY.D. |
| Practice Address |
1 Veterans Dr Minneapolis MN 55417-2309 |
| Mailing Address |
4293 Deerwood Ln N Plymouth MN 55441-1909 |
| Practice Telephone | 6127252000 |
| Practice Fax Number | 6124672144 |
| Mailing Telephone | 7635510316 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| X | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326585027 | Maureen Kennedy | Specialist | 42 Temple St, Williston Park, NY 11596-1833 | 2017-01-19 |
| 1407257496 | Maureen Kennedy | Physical Therapist | 6354 Jackson St, Pittsburgh, PA 15206-2232 | 2014-09-09 |
| 1134426935 | Maureen A Kennedy | Speech-Language Pathologist | 421 Chalfont Pl, Apt G421, Reading, PA 19606-9159 | 2011-02-15 |
| 1124137781 | Maureen Kennedy | Physical Therapist | 10256 S Us Highway 1, Port St Lucie, FL 34952-5615 | 2006-08-29 |
| 1285173393 | Maureen Kennedy | Social Worker | 12 S Adams St, Rockville, MD 20850-4238 | 2017-02-22 |
| 1205287109 | Maureen Elizabeth Kennedy | Developmental Therapist | 500 Fairway Dr, Suite 102, Deerfield Beach, FL 33441-1814 | 2016-06-22 |
| 1083905368 | Maureen D Kennedy | Social Worker | 1617 Reading Rd, Cincinnati, OH 45202-1413 | 2011-04-21 |
| 1922128552 | Maureen A Kennedy | Occupational Therapist | 1080 Silver Lake Blvd, Dover, DE 19904-2410 | 2007-03-29 |
| Street Address |
1 VETERANS DR |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55417-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012762 | Peter T. Mitchell | Nurse Practitioner | 1 Veterans Dr, 111h, Minneapolis, MN 55417-2309 | 2005-06-10 |
| 1114527926 | Phuong Duy Le | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-30 |
| 1437759453 | Rebecca Fritze | Social Worker | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-28 |
| 1225637713 | Jedidiah Cates | Recreation Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1457950719 | Alisha Beckett | Physical Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-19 |
| 1982203303 | Madeline Wollersheim | Speech-Language Pathologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-19 |
| 1285232611 | Hannah Schmidt | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-16 |
| 1134736861 | Samuel William Schieffer | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-27 |
| 1306452727 | Kate Finn | Psychologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-21 |
| 1447865068 | Amanda Mueller | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1699240580 | Angela Cox | Social Worker | Vamc Minneapolis, 1 Veterans Drive (1k), Minneapolis, MN 55417 | 2018-10-08 |
| 1407353519 | Kirsten Kathleen Rydberg | Registered Nurse | One Veteran Drive, Minneapolis, MN 55417 | 2018-04-06 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1770025710 | Elizabeth Kate Adam | Registered Nurse | 613 E Minnehaha Pkwy, Minneapolis, MN 55417 | 2016-11-08 |
| 1831579754 | John Rossakis | Occupational Therapist | 5708 42nd Ave S, Minneapolis, MN 55417 | 2015-06-05 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| 1750712733 | Debra Sand | Massage Therapist | 2750 E 50th Street, Minneapolis, MN 55417 | 2013-12-02 |
| 1669764221 | Michael Alan Newman | Internal Medicine | One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 | 2011-05-13 |
| Find all providers in zip 55417 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779127 | Abdifatah Nuuh | Psychologist | 4204 16th Ave S, Minneapolis, MN 55407-3312 | 2020-10-26 |
| 1033749163 | Neurocalm, LLC | Psychologist | 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 | 2020-01-16 |
| 1679134373 | Lindsay Elissa Holt | Psychologist | 825 Nicollet Mall Ste 1455, Minneapolis, MN 55402-2703 | 2019-06-24 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1144706094 | Adrienne Sharma | Psychologist | 708 North 1st Street, Suite #242, Minneapolis, MN 55401 | 2018-07-13 |
| 1487156618 | Mercer Psychological Services Pllc | Psychologist | 410 E 48th St Ste 3, Minneapolis, MN 55419-5651 | 2018-03-04 |
| 1285166355 | Ross E Gubrud | Psychologist | 4421 Ellsworth Dr, Minneapolis, MN 55435-4149 | 2017-03-29 |
| 1144629403 | Donna Kulakowski | Psychologist | 3108 Hennepin Ave # 1, Minneapolis, MN 55408-2619 | 2014-08-22 |
| 1245644582 | Anshan Eckard | Psychologist | 128 Pleasant St Se, Appleby Hall, Minneapolis, MN 55455-0434 | 2014-06-14 |
| 1891122628 | John T Landry | Psychologist | 5325 Grand Ave S, Minneapolis, MN 55419-1358 | 2013-10-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55417 |
Please comment or provide details below to improve the information on DR. MAUREEN CAROLYN KENNEDY.
| 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.