DR. JOHN THOMAS KENNEDY


Address: 476 Skiff Mountain Rd, Kent, CT 06757-1112
Phone: 8609270047

DR. JOHN THOMAS KENNEDY (NPI# 1932480894) 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) 1932480894
Entity Type Individual
Full Name DR. JOHN THOMAS KENNEDY
Credential EDD, LMHC
Practice Address 476 Skiff Mountain Rd
Kent
CT 06757-1112
Mailing Address 476 Skiff Mountain Rd
Po Box 3001
Kent
CT 06757-1112
Practice Telephone 8609270047
Mailing Telephone 8609270047
Enumeration Date 2011-09-06
Last Update Date 2011-09-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
5231 MA Behavioral Health & Social Service Providers

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Office Location

Street Address 476 SKIFF MOUNTAIN RD
City KENT
State CT
Zip Code 06757-1112

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831544030 Samantha K Case Social Worker 62 Carter Road, Kent, CT 06757 2016-04-26
1639545015 Stephanie Mauri Dental Hygienist 8 Green Pastures Ln, Kent, CT 06757 2015-08-19
1275946881 High Watch Recovery Center Substance Abuse Rehabilitation Facility 62 Carter Rd., Kent, CT 06757 2014-06-11
1538592225 Mary E. Smith Bowen Licensed Practical Nurse 46 Maple St, The Kent, Kent, CT 06757 2013-08-16
1629390620 Kent Volunteer Fire Department, Inc. Ambulance 28 Maple St., Kent, CT 06757 2010-02-18
1407021959 Gayle Pantaleo Social Worker 17 Old Barn Road, Kent, CT 06757 2008-04-25
1891992160 Margaret Farley Mcmorrow Acupuncturist Progressive Medicine, 17 Old Barn Road, Kent, CT 06757 2007-06-29
1407981681 Dan Traub Specialist/Technologist Kent School 1 Macedonia Rd., Kent, CT 06757 2007-02-21
1518057942 Michael G Monsarrat Dentist 37 N Main St, Kent, CT 06757 2006-10-14
1891800512 Leonard Jerome Astrauskas Internal Medicine 27 North Main Street, Unit 7a, Kent, CT 06757 2006-08-20
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497353668 Cynthia Njoki Wanjohi Counselor 14641 Se 276th Pl, Kent, WA 98042-9130 2020-10-11
1487277984 Bonnie Harvey Counselor 24216 138th Ave Se, Kent, WA 98042-5186 2020-05-19
1831756238 Marc Kedar Mueller Counselor 1621 Central Ave S Ste Q, Kent, WA 98032-7452 2019-05-22
1972060119 Allyssa Gabrielle Dziurlaj Counselor 135 E Erie St Ste 304, Kent, OH 44240-3599 2019-02-25
1952866790 Cornerstone Ocd Anxiety Counselor 415 Railroad Ave S, Kent, WA 98032 2019-02-06
1841764966 Amanda Mcdonald Counselor 4189 Whitestone Rd, Kent, OH 44240-6885 2019-01-12
1861962458 Mohamed Osman Awad Counselor 124 4th Ave S Suite 230, Kent, WA 98032 2018-11-27
1821573528 Cheryl L Fracasso Counselor 25722 135th Ave Se, Kent, WA 98042-3506 2018-09-27
1861999617 Middle Path Counseling Services LLC Counselor 175 E Erie St Ste 304, Kent, OH 44240-3595 2018-04-09
1306353123 Persephone Johansson Counselor 615 W Titus St Ste 103, Kent, WA 98032-5749 2018-01-02
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Competitor

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City KENT
Zip Code 06757

Improve Information

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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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