MICHAEL KENNEY (NPI# 1073569349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073569349 |
| Entity Type | Individual |
| Full Name | MICHAEL KENNEY |
| Credential | PHD |
| Practice Address |
1465 S Grand Blvd Saint Louis MO 63104-1003 |
| Practice Telephone | 3145775667 |
| Mailing Telephone | 3145775667 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 01353 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 493318406 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10777 Sunset Office Dr., Suite 315, Saint Louis, MO 63127 | 3149650101 | 3149652562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071801 | Michael Kenney | Pharmacist | 3180 Beck Blvd # D-13, Naples, FL 34114-1203 | 2019-06-06 |
| 1679612535 | Michael Kenney | Speech-Language Pathologist | 21001 Wyoming Blvd Se # Kafbe, Sandia Base Es, Albuquerque, NM 87116-1151 | 2007-02-06 |
| 1760536171 | Michael Virnon Kenney | Marriage & Family Therapist | 319 Orient St, Chico, CA 95928-5441 | 2007-01-22 |
| 1659431963 | Michael P. Kenney | Internal Medicine | 6001 E Molloy Rd, Syracuse, NY 13211-2100 | 2006-12-11 |
| 1316961352 | Michael Walter Kenney | Chiropractor | 20 S Power Rd Ste 102, Mesa, AZ 85206-5204 | 2006-07-26 |
| 1235668575 | Michael Lee Kenney | Prosthetist | 120 Hill St, Hot Springs, AR 71901-6238 | 2017-06-09 |
| 1952552796 | Michael Kenney | Social Worker | 3850 N Lawndale Ave, Ste 203, Chicago, IL 60618-4115 | 2008-10-09 |
| 1679650204 | Michael C Kenney | Counselor | 305 Roseberry St, Suite 8, Phillipsburg, NJ 08865-1600 | 2006-11-01 |
| 1306800875 | Michael P. Kenney | Physical Therapist | 485 Arsenal St, Watertown, MA 02472-5091 | 2006-04-13 |
| Street Address |
1465 S GRAND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676921 | Gunjanpreet Kaur | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-07-21 |
| 1972128510 | Millicent Rose Palacios | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-06-09 |
| 1083241863 | Nathaniel Joseph Conner | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1467089177 | Stacy Kollanur Mathews | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1568099299 | Susan Aye Mya Oo | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1861029514 | Gregory Joseph Weissler II | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1154958874 | Brendan Michael Mcenery | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1316574049 | Satvika Mikkilineni | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1972130607 | Katherine Letha Randolph | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1346877081 | Samuel Ryan Richey | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750994547 | Ashley Brauer | Psychologist | 231 W Lockwood Ave Ste 202, Saint Louis, MO 63119-2951 | 2020-08-31 |
| 1538770284 | Meigs Psychological Services LLC | Psychologist | 529 Newport Ave, Saint Louis, MO 63119-2517 | 2020-08-14 |
| 1235748773 | Kendra Krietsch | Psychologist | 1 Childrens Pl # 3n-14, Saint Louis, MO 63110-1002 | 2020-07-30 |
| 1427674001 | Laura Ellen Glover-orr | Psychologist | 5719 Delor St, Saint Louis, MO 63109-2831 | 2020-06-19 |
| 1356714893 | Michelle Lynn Jochim Black | Psychologist | 3800 Park Ave, Saint Louis, MO 63110-2514 | 2015-11-05 |
| 1407267537 | Therese Verkerke Cash | Psychologist | 6201 Murdoch Ave, Saint Louis, MO 63109-2747 | 2014-05-12 |
| 1205100054 | Mark F Heiland, Phd, Licensed Psychologist, LLC | Psychologist | 4542 W Pine Blvd, Saint Louis, MO 63108-2186 | 2012-02-25 |
| 1952684995 | Paul H Wang M Div Ph D & Associates P C | Psychologist | 225 S Meramec Ave Ste 213, Saint Louis, MO 63105-3511 | 2011-09-26 |
| 1679854194 | Rae Alexandra Wilkerson Maixner | Psychologist | 1 Childrens Pl Ste 3n-14, Saint Louis, MO 63110-1002 | 2011-08-30 |
| 1679885677 | Christian Psychological & Family Services | Psychologist | 9378 Olive Blvd Ste 106, Saint Louis, MO 63132-3222 | 2010-07-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
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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.