DR. SALLY ANN KENNEDY (NPI# 1225302029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225302029 |
| Entity Type | Individual |
| Full Name | DR. SALLY ANN KENNEDY |
| Credential | PH.D |
| Practice Address |
1160 S Milledge Ave Suite 130 Athens GA 30605-1350 |
| Practice Telephone | 7062961202 |
| Mailing Telephone | 7062961202 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 2915 | GA | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
2915 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259372 | Sally Elizabeth Kennedy | Driver | 5894 S Shandle Blvd, Mentor, OH 44060-1972 | 2020-09-15 |
| 1043293103 | Sally Jean Kennedy | Nurse Practitioner | 1898 E Southern Ave, Tempe, AZ 85282-5836 | 2005-11-22 |
| 1841661360 | Sally Kennedy | Nurse Anesthetist, Certified Registered | 2307 Parkland Way, Norman, OK 73069-6536 | 2015-10-09 |
| 1275712374 | Sally I Kennedy | Counselor | 600 Wayne Ave, Dayton, OH 45410 | 2007-10-25 |
| Street Address |
1160 S MILLEDGE AVE SUITE 130 |
| City | ATHENS |
| State | GA |
| Zip Code | 30605-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225446008 | Bernadette Heckman | Psychologist | 1160 S Milledge Ave, Suite 240, Athens, GA 30605-1350 | 2014-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
| 1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
| 1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
| 1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
| 1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| Find all providers in zip 30605 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124339916 | Anthony Michael Zimmermann | Psychologist | 402 Aderhold Hl, University of Georgia, Athens, GA 30602-0001 | 2010-06-25 |
| 1710039870 | Brian A. Glaser | Psychologist | 130 Wickersham Dr, Athens, GA 30606-3182 | 2007-01-17 |
| 1447311667 | Carolyn R Hally | Psychologist | 323 Riverview Rd, Athens, GA 30606-4631 | 2006-12-12 |
| 1538113642 | Ak Counseling & Consulting, Inc. | Psychologist | 191 E Broad St, Suite 314, Athens, GA 30601-2847 | 2006-05-22 |
| 1235127598 | Frederick J Breme | Psychologist | 598 S Milledge Ave, Suite 5, Athens, GA 30605-1262 | 2005-10-11 |
| 1649703745 | Rebecca Conrad Davenport | Psychologist | 2 Health Center Dr, Ou Counseling and Psychological Services, Athens, OH 45701-2907 | 2017-04-05 |
| 1134589641 | Heather Floyd Lundy | Psychologist | 485 Huntington Rd, #196, Athens, GA 30606-1861 | 2016-02-25 |
| 1336499235 | Sydney Felker | Psychologist | 1150 S Milledge Ave, Suite 4, Athens, GA 30605-6723 | 2012-09-18 |
| 1861712226 | Barbara Geter | Psychologist | 250 North Ave, Athens, GA 30601-2244 | 2010-06-09 |
| 1235354127 | Kristina Houser | Psychologist | 17 Blue Line Dr, Athens, OH 45701-2325 | 2007-04-16 |
| Find all providers in ATHENS | ||||
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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.