RAYMOND JAMES KENNEDY III (NPI# 1871576223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871576223 |
Entity Type | Individual |
Full Name | RAYMOND JAMES KENNEDY III |
Credential | MD |
Practice Address |
7616 Currell Blvd Ste 275 Woodbury MN 55125 |
Practice Telephone | 6512640260 |
Practice Fax Number | 6512640261 |
Mailing Telephone | 6512640260 |
Mailing Fax Number | 6512640261 |
Enumeration Date | 2005-11-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
39653 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MEDICA | 1501790 | 01 |
MN | BCBS OF MN | 991N7KE | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154853752 | Raymond E Kennedy Jr. | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2017-04-01 |
Street Address |
7616 CURRELL BLVD STE 275 |
City | WOODBURY |
State | MN |
Zip Code | 55125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932181658 | Keeva Nicole Hartley | Social Worker | 7616 Currell Blvd, Bhsi LLC Suite 290, Woodbury, MN 55125-8204 | 2005-11-17 |
1790392447 | Katie Schlingmann | Nurse Practitioner | 7616 Currell Blvd, Woodbury, MN 55125-2290 | 2020-09-27 |
1538612759 | Rachel Krieger | Marriage & Family Therapist | 7616 Currell Blvd, Woodbury, MN 55125-2290 | 2016-07-25 |
1942694765 | Abode Hospice and Homecare of Mn, LLC | Home Health | 7616 Currell Blvd, Suite 175, Woodbury, MN 55125-2290 | 2015-03-19 |
1538552757 | Abode Hospice and Homecare of Mn, LLC | Hospice Care, Community Based | 7616 Currell Blvd, Suite 175, Woodbury, MN 55125-2290 | 2015-03-12 |
1346531894 | Clearwater Counseling | Counselor | 7616 Currell Blvd, Suite 200, Woodbury, MN 55125-2290 | 2011-05-02 |
1043512593 | Prairie Care | Marriage & Family Therapist | 7616 Currell Blvd, Woodbury, MN 55125-2290 | 2010-12-03 |
1992007058 | Sima Seaver | Marriage & Family Therapist | 7616 Currell Blvd, Woodbury, MN 55125-2290 | 2010-11-23 |
1811200900 | Thomas Walter O'neill | Counselor | 7616 Currell Blvd, Suite 100, Woodbury, MN 55125-2290 | 2010-07-19 |
1609008010 | Kathlyn Nelson Phd LLC | Community/Behavioral Health | 7616 Currell Blvd, Ste. 280, Woodbury, MN 55125-2290 | 2009-08-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
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Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225114499 | Karen Teitelman | Psychiatry & Neurology | 6 North Broad Street, Suite 301, Woodbury, NJ 08096 | 2006-10-31 |
1740371079 | Francene Black | Psychiatry & Neurology | 6 North Broad Stree, Suite 301 Center for Family Guidance, Woodbury, NJ 08096 | 2006-09-28 |
1619071602 | Robert S Mcwilliam | Psychiatry & Neurology | 4 S Pomperaug Ave, Woodbury, CT 06798-3709 | 2006-09-11 |
1265535876 | Susan Marie Buelow | Psychiatry & Neurology | 659 Bielenberg Dr, Woodbury, MN 55125-1706 | 2006-09-07 |
1609978063 | Aris Clinic Pa | Psychiatry & Neurology | 2040 Woodwinds Dr, Woodbury, MN 55125-2522 | 2006-09-05 |
1396858288 | Marina Zatman | Psychiatry & Neurology | 122 S Pomperaug Ave Ste 2b, Woodbury, CT 06798-3708 | 2006-08-16 |
1740255280 | Molly Ann Flannagan | Psychiatry & Neurology | 7616 Currell Blvd., Suite 290, Woodbury, MN 55125-8204 | 2006-02-20 |
1629040639 | Karen P Ta | Psychiatry & Neurology | 1811 Weir Drive Suite 355 - Mail Stop 13701a, Healthpartners Regions Behavioral Health-woodbury, Woodbury, MN 55125-2273 | 2006-02-03 |
1194721746 | Jay P Bellias | Psychiatry & Neurology | 404 Tatum St, Woodbury, NJ 08096-3499 | 2005-06-27 |
1215486261 | Robert S Mcwilliam Md LLC | Psychiatry & Neurology | 4 S Pomperaug Ave, Woodbury, CT 06798-3709 | 2016-09-30 |
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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.