KENNEDY KRIEGER EDUCATION AND COMMUNITY SERVICES, INC. (NPI# 1770755878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770755878 |
| Entity Type | Organization |
| Organization Name | KENNEDY KRIEGER EDUCATION AND COMMUNITY SERVICES, INC. |
| Other Organization Name | KENNEDY KRIEGER SCHOOL |
| Practice Address |
73825 Greenspring Ave. Kennedy Kriger School - High School Baltimore MD 21211 |
| Mailing Address |
P.o. Box 744865 Atlanta GA 30374 |
| Practice Telephone | 4439239200 |
| Practice Fax Number | 4439239405 |
| Mailing Telephone | 4439231886 |
| Mailing Fax Number | 4439231895 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | MR. MIKE J NEUMAN (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 4439231810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041S0200X |
Social Worker Specialization: School |
MD | Behavioral Health & Social Service Providers | |
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
MD | Nursing Service Providers | |
| N | 225100000X | Physical Therapist | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225X00000X | Occupational Therapist | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 235Z00000X | Speech-Language Pathologist | MD | Speech, Language and Hearing Service Providers | |
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
30-036 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1754815 01 | 05 |
| Other Name | Type Code |
|---|---|
| Kennedy Krieger School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376715383 | Kennedy Krieger Education and Community Services, Inc. | Social Worker | 2040 E. 32nd St., Montebello School, Baltimore, MD 21218 | 2008-03-31 |
| 1548432552 | Kennedy Krieger Education and Community Services, Inc. | Social Worker | 1600 Arlington Ave., Lois T. Murray School, Baltimore, MD 21239 | 2008-03-31 |
| 1992977904 | Kennedy Krieger Education and Community Services, Inc. | Social Worker | 4400 Solomons Island Rd., Anne Arundel II Southern School, Harwood, MD 20776 | 2008-03-31 |
| 1366540619 | Kennedy Krieger Education and Community Services, Inc. | Social Worker | 1750 E Fairmont Ave., Baltimore, MD 21231 | 2006-09-20 |
| Street Address |
73825 GREENSPRING AVE. KENNEDY KRIGER SCHOOL - HIGH SCHOOL |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
| 1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
| 1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
| 1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
| 1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
| 1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
| Find all providers in zip 21211 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1609437631 | Assistic Care Services Inc. | Clinic/Center | 10117 Tulip Tree Dr, Bowie, MD 20721-3715 | 2019-06-20 |
| 1841854650 | Silver Lining Residential of Maryland | Clinic/Center | 3944 Red Deer Cir, Randallstown, MD 21133-2047 | 2019-04-26 |
| 1376005413 | Millenium Care, Inc | Clinic/Center | 806 Reisterstown Rd Ste 3, Pikesville, MD 21208-4214 | 2019-04-05 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1528569183 | Ark of Rehabilitation Inc | Clinic/Center | 3450 Laurel Fort Meade Rd Ste 212, Laurel, MD 20724-2040 | 2018-02-27 |
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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.