Raymond J Kennedy Iii (NPI# 1871576223, PAC ID# 9234186750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1871576223 |
| PAC ID by PECOS | 9234186750 |
| Professional Enrollment ID | I20050406000423 |
| Full Name | Raymond J Kennedy Iii |
| Organization Legal Name | COUNTY OF SCOTT |
| Address |
200 4th Ave W Suite 300 Shakopee MN 55379-1220 |
| Phone Number | 9524968481 |
| Gender | M |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4587605225 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240004 | HENNEPIN COUNTY MEDICAL CENTER 1 |
| Address | Phone | Organization |
|---|---|---|
| 9400 Zane N Ave, Brooklyn Park, MN 55443-1814 | 7633835800 | ST CROIX PSYCHIATRIC LLC |
| 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 | 9524968481 | COUNTY OF SCOTT |
| Organization Legal Name | COUNTY OF SCOTT |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Douglas Eckerman | Clinical Psychologist | County of Scott | 200 4th W Ave, Suite 300, Shakopee, MN 55379-1220 |
| Kim S Harmon | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Stephanie Stacy Smith | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Danelle Amber Williams Nelson | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Erin L Martin | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Duncan E Anderson | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Jennifer L Schuldt | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Morgan Claire Hittner-ashwell | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Amber Leigh Hilgart | Clinical Psychologist | County of Scott | 200 4th W Ave, Suite 300, Shakopee, MN 55379-1220 |
| Terryl L Raddatz | Clinical Psychologist | County of Scott | 200 4th W Ave, Shakopee, MN 55379-1220 |
| Street Address |
200 4TH AVE W SUITE 300 |
| City | SHAKOPEE |
| State | MN |
| Zip | 55379-1220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim S Harmon | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Michele M Walker | Clinical Social Worker | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Jacquelyn A Stortenbecker | Physician Assistant | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Stephanie Stacy Smith | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Suzanne J Rozendaal | Clinical Social Worker | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Danelle Amber Williams Nelson | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Jennifer L Kramer | Clinical Social Worker | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Felicia L Hoerner | Physician Assistant | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Ara J Robinson | Psychiatry | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Casie M Riney | Physician Assistant | Capstone Behavioral Healthcare Inc | 200 4th Ave W, Grinnell, IA 50112-1833 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Douglas Eckerman | Clinical Psychologist | County of Scott | 200 4th W Ave, Suite 300, Shakopee, MN 55379-1220 |
| Erin L Martin | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Duncan E Anderson | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Jennifer L Schuldt | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Morgan Claire Hittner-ashwell | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Amber Leigh Hilgart | Clinical Psychologist | County of Scott | 200 4th W Ave, Suite 300, Shakopee, MN 55379-1220 |
| Terryl L Raddatz | Clinical Psychologist | County of Scott | 200 4th W Ave, Shakopee, MN 55379-1220 |
| Jerrald C Miller | Chiropractic | 135 1st E Ave, Shakopee, MN 55379-1309 | |
| Daniel J Mcgraw | Chiropractic | 225 Lewis St S, Shakopee, MN 55379-1448 | |
| Dustin P Campion | Chiropractic | Functional Chiropractic and Laser | 421 1st Ave E, Suite 102, Shakopee, MN 55379-1464 |
| Find all physicians in zip 55379 | |||
| City | SHAKOPEE |
| Zip Code | 55379 |
| Specialty | PSYCHIATRY |
| City + Specialty | SHAKOPEE + PSYCHIATRY |
Please comment or provide details below to improve the information on Raymond J Kennedy Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.