MICHAEL DAVID KENNEDY


Address: 600 Bercut Dr, Sacramento, CA 95811-0131
Phone: 9164401500

MICHAEL DAVID KENNEDY (NPI# 1578108460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578108460
Entity Type Individual
Full Name MICHAEL DAVID KENNEDY
Practice Address 600 Bercut Dr
Sacramento
CA 95811-0131
Mailing Address 5700 Marconi Ave Apt 120
Carmichael
CA 95608-4438
Practice Telephone 9164401500
Mailing Telephone 9162546584
Enumeration Date 2019-11-14
Last Update Date 2019-11-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171M00000X Case Manager/Care Coordinator CA Other Service Providers
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers MICHAEL KENNEDY

NPI Name Taxonomy Address Enumeration
1992047427 Michael W Kennedy General Practice 6686 Eagle Crossing Blvd, Brownsburg, IN 46112-7420 2013-03-22
1861732760 Michael Kennedy Social Worker 865 Memorial Pkwy, Phillipsburg, NJ 08865-2730 2013-03-01
1306116066 Michael Shawn Kennedy Psychologist 113 Hawk Dr, Dulce, NM 87528 2012-01-11
1558507749 Michael Patrick Kennedy Registered Nurse 11310 Huron St Ste 100, Northglenn, CO 80234-3090 2008-12-18
1861678435 Michael George Kennedy Social Worker 1290 W 8th Pl, Suite A, Yuma, AZ 85364-3621 2008-01-14
1992985550 Michael Arthur Kennedy Preventive Medicine 62 N. Chapel St, #100, Physicians Group, LLC, Newark, DE 19711-2238 2007-11-11
1639358088 Michael John Kennedy Chiropractor 12105 41st Ave N, Apt 118, Plymouth, MN 55441-1200 2007-11-01
1588879043 Michael Thomas Kennedy Surgery 28144 El Montanero, Laguna Niguel, CA 92677-7545 2007-05-10
1245361815 Michael C Kennedy Chiropractor 3580 Rte 281, Cortland, NY 13045 2007-03-08
1245391473 Michael Arthur Kennedy Physician Assistant 111 E Hwy 120, Ste. 104, Pottsboro, TX 75076-3008 2006-12-12

Office Location

Street Address 600 BERCUT DR
City SACRAMENTO
State CA
Zip Code 95811-0131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548347925 El Hogar Community Services, Inc. Clinic/Center 600 Bercut Dr, Sacramento, CA 95811-0131 2006-11-01
1366041659 Liezl Papa Lardizabal Case Manager/Care Coordinator 600 Bercut Dr, Sacramento, CA 95811-0131 2020-10-19
1417508227 Jennifer Martins Case Manager/Care Coordinator 600 Bercut Dr, Sacramento, CA 95811-0131 2019-09-23
1528615432 Jazmin Orozco Case Manager/Care Coordinator 600 Bercut Dr, Sacramento, CA 95811-0131 2019-08-25
1962055434 Gabrielle Nicole Salazar Counselor 600 Bercut Dr, Sacramento, CA 95811-0131 2019-07-23
1821553314 Michelle Meyer Social Worker 600 Bercut Dr, Sacramento, CA 95811-0131 2019-02-08
1902360910 Tamara Granada Case Manager/Care Coordinator 600 Bercut Dr, Sacramento, CA 95811-0131 2019-01-23
1659843993 Karndeep Lehal Student in an Organized Health Care Education/Training Program 600 Bercut Dr, Sacramento, CA 95811-0131 2018-12-27
1285106153 Ayesha Asghar Counselor 600 Bercut Dr, Sacramento, CA 95811-0131 2018-12-17
1679048573 Stanley Xiong Case Manager/Care Coordinator 600 Bercut Dr, Sacramento, CA 95811-0131 2018-10-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154891190 Teresa Sy Behavior Technician 610 Bercut Dr. Suite B, Sacramento, CA 95811 2018-12-03
1669948212 Micaela Badue Counselor 401 S St., Sacramento, CA 95811 2018-10-22
1669956801 Andrea Martinez Counselor 600 Bercut Dr., Sacramento, CA 95811 2018-09-24
1174000855 Clinicians Connect Care Home Health & Hospice Services Home Health 716 19th Street, Suite 200, Sacramento, CA 95811 2018-07-25
1992202345 Benjamin James Leibold Behavior Technician 610 Bercut Drive, Suite B, Sacramento, CA 95811 2018-04-11
1669979233 Aja Jones Counselor 401 S Street, Sacramento, CA 95811 2018-04-10
1821511916 Lucas John Monaco Counselor 1400 North 'a' Street, Bldg A, Sacramento, CA 95811 2017-07-20
1275089963 Sergio Vicuna, D.d.s., Inc Dentist 1804 19th St, Suite 100, Sacramento, CA 95811 2016-09-01
1386057495 Chelsea Turner Counselor 600 Bercut Drive, Sacramento, CA 95811 2014-06-05
1427473636 Sidney Caldwell Counselor 401 S Street Sacramento, Sacramento, CA 95811 2014-02-25
Find all providers in zip 95811

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932709458 Andre Howard Case Manager/Care Coordinator 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 2020-10-26
1528667854 Sarah Claudio Case Manager/Care Coordinator 650 Howe Ave # 400-b, Sacramento, CA 95825 2020-10-19
1891392676 Natalie V Galaviz Case Manager/Care Coordinator 3815 Marconi Ave # 52, Sacramento, CA 95821-3867 2020-10-05
1780294827 Travis Elliott Peppers Case Manager/Care Coordinator 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 2020-08-04
1093332579 David Lynch Case Manager/Care Coordinator 700 H St Ste 270, Sacramento, CA 95814-1289 2020-06-30
1770126906 Chrysanthia D Leggett Case Manager/Care Coordinator 7415 Henrietta Dr Unit A, Sacramento, CA 95822-5142 2019-10-21
1558904870 Larry Carter Case Manager/Care Coordinator 3700 Watt Ave Apt 13, Sacramento, CA 95821-2661 2019-10-18
1255982443 Valerie Bishop Case Manager/Care Coordinator 5691 Boyton Way, Sacramento, CA 95823-3811 2019-09-27
1720637689 Ayana Nuno Case Manager/Care Coordinator 1616 El Monte Ave, Sacramento, CA 95815-2903 2019-09-04
1154980597 Nosazena Leo Uyigue Case Manager/Care Coordinator Sacramento County Mental Health Treatment Center, 2150 Stockton Boulevard, Sacramento, CA 95817-1337 2019-06-10
Find all providers in SACRAMENTO

Competitor

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City SACRAMENTO
Zip Code 95811

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Dataset Information

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.

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