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JOHN KENNEDY PSY.D NPI 1467513127


NPI Information

NPI: 1467513127
Provider Name: JOHN KENNEDY, PSY.D
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1200 E BRIN ST
TERRELL, TX
ZIP 75160
Phone: (972) 524-6452
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John Kennedy, PSY.D is an addiction (substance use disorder) psychologist in Terrell, TX. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. John Kennedy, PSY.D NPI is 1467513127. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1200 E BRIN ST
TERRELL, TX
ZIP 75160
Phone: (972) 524-6452

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)23253TEXASYes
2103TC0700XPsychologistClinical23253TEXASX
3103TC2200XPsychologistClinical Child & Adolescent23253TEXASX
4103TF0200XPsychologistForensic23253TEXASX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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