DR. JULIA MARIE KENNEDY (NPI# 1356779912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356779912 |
| Entity Type | Individual |
| Full Name | DR. JULIA MARIE KENNEDY |
| Credential | PSY.D. |
| Practice Address |
3939 San Pedro Dr Ne Albuquerque NM 87110-8900 |
| Mailing Address |
25 Fischer Ln Tijeras NM 87059-8203 |
| Practice Telephone | 5053792709 |
| Mailing Telephone | 5053792709 |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2020-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1084 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | CAQH | 11703482 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003229287 | Julia Elizabeth Kennedy | Dentist | 11819 W Diane Dr, Wauwatosa, WI 53226-3348 | 2014-06-05 |
| 1114216397 | Julia Elaine Kennedy | Pharmacist | 2440 New Hartford Rd, Owensboro, KY 42303-1311 | 2011-03-28 |
| 1992810311 | Julia Kennedy | Internal Medicine | 3998 Red Lion Rd, Suite 130, Philadelphia, PA 19114-1436 | 2006-08-19 |
| Street Address |
3939 SAN PEDRO DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023129632 | Sandra Lee Hussey | Massage Therapist | 3939 San Pedro Dr Ne, Suite C5, Albuquerque, NM 87110-8900 | 2006-08-31 |
| 1487100392 | Mending Hearts, LLC | Social Worker | 3939 San Pedro Dr Ne, Building C, Suite C, Albuquerque, NM 87110-8900 | 2016-08-31 |
| 1629494760 | Turning Point Recovery Center, Inc. | Clinic/Center | 3939 San Pedro Dr Ne, D1, Albuquerque, NM 87110-8900 | 2014-03-13 |
| 1023346350 | New Mexico Nurse, LLC. | Nursing Care | 3939 San Pedro Dr Ne, Bldg. C, Albuquerque, NM 87110-8900 | 2009-11-24 |
| 1457476244 | Beverly D Miller | Counselor | 3939 San Pedro Dr Ne, Suite C-4, Albuquerque, NM 87110-8900 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844747 | Ellen Soisson | Psychologist | 11005 Spain Rd Ne Ste 8, Albuquerque, NM 87111-1871 | 2020-05-31 |
| 1124584313 | Mark Simpson Psyd Mac Ladc LLC | Psychologist | 2920 Carlisle Blvd Ne Ste G, Albuquerque, NM 87110-2867 | 2019-02-13 |
| 1548775414 | Julie Brovko | Psychologist | 215 Gold Ave Sw Ste 202, Albuquerque, NM 87102-3364 | 2017-12-13 |
| 1134633498 | Evan Espinosa | Psychologist | 933 Bradbury Dr. Se, Suite 2222, Albuquerque, NM 87106-4374 | 2017-11-24 |
| 1982113205 | Diana Bennett | Psychologist | 1501 San Pedro Dr Se # Mc116, Albuquerque, NM 87108-5153 | 2017-09-29 |
| 1518411297 | Emily Kathryn Andrews | Psychologist | 1001 Yale Boulevard Ne, Albuquerque, NM 87131-1830 | 2016-08-10 |
| 1982076402 | Sally Eden Moretti | Psychologist | 5920 Canyon Vista Dr Ne, Albuquerque, NM 87111-6621 | 2015-10-23 |
| 1881087526 | Aaron Joyce, Ph.d., LLC | Psychologist | 3532 Anderson Ave. Se, Albuquerque, NM 87106 | 2015-03-05 |
| 1073903506 | Samardzija Psychological Center | Psychologist | 12900 Sandia Point Rd Ne, Albuquerque, NM 87111-8198 | 2015-02-04 |
| 1679974943 | Sage Behavioral Health Center | Psychologist | 2929 Coors Blvd Nw Ste 100d, Albuquerque, NM 87120-1272 | 2014-09-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on DR. JULIA MARIE 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.