KENNEDY HEALTH SYSTEM (NPI# 1033438643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033438643 |
| Entity Type | Organization |
| Organization Name | KENNEDY HEALTH SYSTEM |
| Practice Address |
454 Hurffville Crosskeys Rd Sewell NJ 08080-2339 |
| Mailing Address |
2201 Chapel Ave W Cherry Hill NJ 08002-2048 |
| Practice Telephone | 8565821419 |
| Practice Fax Number | 8565827661 |
| Mailing Telephone | 8564886500 |
| Mailing Fax Number | 8564886415 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |
| Authorized Official Name | MR. RUSS MICOLI (CORP. DIRECTOR, BEHAVIORAL HEALTH) |
| Authorized Official Telephone | 8564886701 |
| Authorized Official Credential | MA, MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255762597 | Kennedy Health System | Psychiatric Unit | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2013-12-12 |
| 1730444225 | Kennedy Health System | Psychiatric Hospital | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2012-07-10 |
| 1689961963 | Kennedy Health System | General Acute Care Hospital | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2011-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KENNEDY HEALTH SYSTEM | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 |
| Street Address |
454 HURFFVILLE CROSSKEYS RD |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487111308 | Kierson Romero | Counselor | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2019-02-27 |
| 1942653142 | Kennedy Behavorial Health | Clinic/Center | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2016-07-22 |
| 1255705976 | Kelli Campbell | Counselor | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2015-11-18 |
| 1164899381 | Lauren Guy | Counselor | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2015-08-24 |
| 1912342833 | Annette Decandia Mcguire | Counselor | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2013-05-06 |
| 1881039733 | Costenah Chanel Ward | Counselor | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2013-05-06 |
| 1578817755 | Kennedy Health Systems | Clinic/Center | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2012-11-09 |
| 1730444225 | Kennedy Health System | Psychiatric Hospital | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2012-07-10 |
| 1760741532 | Maria Fowler | Social Worker | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2012-05-14 |
| 1689961963 | Kennedy Health System | General Acute Care Hospital | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2011-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881105534 | Joanne Robertson, Lpc, Acs, LLC | Clinic/Center | 123 Egg Harbor Rd Ste 202, Sewell, NJ 08080-9406 | 2017-10-21 |
| 1942653142 | Kennedy Behavorial Health | Clinic/Center | 454 Hurffville Crosskeys Rd, Sewell, NJ 08080-2339 | 2016-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766375 | Grace Behavioral Health Services | Clinic/Center | 1602 Pinehurst Est, Lakehurst, NJ 08733-2414 | 2020-09-24 |
| 1881213783 | Operation Hope | Clinic/Center | 45 Cross Rd, Colts Neck, NJ 07722-1211 | 2020-04-10 |
| 1003441809 | Madison Counseling LLC | Clinic/Center | 333 Main St Ste 200, Madison, NJ 07940-2370 | 2020-03-12 |
| 1386108488 | On Your Mark Teen Counseling Center, LLC | Clinic/Center | 605 Valley Rd Ste 4, Upper Montclair, NJ 07043-1455 | 2019-01-23 |
| 1699247635 | Stanford Ctc Services, LLC | Clinic/Center | 141 S Black Horse Pike Ste 204, Blackwood, NJ 08012-2975 | 2018-12-31 |
| 1114496916 | Transformations Therapy Center LLC | Clinic/Center | 110 Hillside Ave Ste 301, Springfield, NJ 07081-3007 | 2018-11-21 |
| 1508345257 | Connect Counseling & Wellness, LLC | Clinic/Center | 155 County Rd Ste 14, Cresskill, NJ 07626-2200 | 2018-08-13 |
| 1730694688 | Comprehensive Behavioral Healthcare, Inc. | Clinic/Center | 187 Kearny Ave, Kearny, NJ 07032-2437 | 2017-12-13 |
| 1295258424 | Cnv Counseling Services LLC | Clinic/Center | 22 Coventry Dr, Freehold, NJ 07728-3164 | 2017-07-19 |
| 1780130989 | Kelly Kerrigan | Clinic/Center | 101 Us Route 130, Cinnaminson, NJ 08077 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
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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.