KENNEDY HEALTH ALLIANCE
NPI 1497295109
Psychologist - Prescribing (Medical) in Blackwood, NJ
NPI Status: Active since February 28, 2017
Contact Information
900 ROUTE 168
SUITE C#3
BLACKWOOD, NJ
ZIP 08012
Phone: (856) 857-6920
- Organization
- Psychologist
- Prescribing (Medical)
About KENNEDY HEALTH ALLIANCE
This page provides the complete NPI Profile along with additional information for Kennedy Health Alliance, a provider established in Blackwood, New Jersey operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1497295109 assigned on February 2017. The practitioner's primary taxonomy code is 103TP0016X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Kennedy Health Alliance operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Kennedy Health Alliance. The authorized official of this NPI record is Carman A Ciervo D.o. (Cpe)
- NPI
- 1497295109
- Provider Legal Name
- KENNEDY MEDICAL GROUP PRACTICE P.C.
- Other Organization Name
- KENNEDY HEALTH ALLIANCE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 900 ROUTE 168 SUITE C#3 BLACKWOOD, NJ 08012
- Location Phone
- (856) 857-6920
- Mailing Address
- 900 ROUTE 168 SUITE C#3 BLACKWOOD, NJ 08012
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-28-2017
- Last Update Date
- 02-28-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Prescribing (Medical)
- Taxonomy Code
- 103TP0016X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0411248 | MEDICAID (05) | NJ | |
| 348438 | MEDICARE PIN (08) | NJ |
Reviews for KENNEDY HEALTH ALLIANCE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 2 | 9 | 5 | 1 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 4 | 9 | 10 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 4 + 9 + 1 + 0 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1497295109 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841262185 | PAUL CARBONARO MD Individual | Dermatology | 900 ROUTE 168 SUITE F5 TURNERSVILLE, NJ 08012 (856) 232-7500 |
| 1710955323 | SOUTH JERSEY DERMATOLOGY ASSOCIATES, PA Organization | Specialist | 900 ROUTE 168 F6 TURNERSVILLE, NJ 08012 (856) 227-7488 |
| 1780633594 | RAYTEL MEDICAL IMAGING, INC. Organization | Clinic/Center (Radiology) | 900 ROUTE 168 SUITE G TURNERSVILLE, NJ 08012 (856) 232-7474 |
| 1053353383 | DR. VALERIE DIPIETRO LONGO OD Individual | Optometrist (Vision Therapy) | 900 ROUTE 168 TURNERSVILLE, NJ 08012 (856) 227-0720 |
| 1134165392 | JOHN W DIERING OD Individual | Optometrist (Vision Therapy) | 900 ROUTE 168 SUITE E5 TURNERSVILLE, NJ 08012 (856) 227-0720 |
| 1881628907 | FAMILY DERMATOLOGY, LLC Organization | Dermatology | 900 ROUTE 168 SUITE F5 TURNERSVILLE, NJ 08012 (856) 232-7500 |
| 1912019332 | DR. MELVIN SAUL GRUBER MD Individual | Dermatology | 900 ROUTE 168 SUITE F-6 TURNERSVILLE, NJ 08012 (856) 227-7488 |
| 1033245121 | DR. SONIA I MEDINA MD Individual | Pediatrics | 900 ROUTE 168 SUITE J2 TURNERSVILLE, NJ 08012 (856) 228-1103 |
| 1679762363 | SSP PARTNERS, LLC Organization | Clinic/Center (Radiology) | 900 ROUTE 168 SUITE G TURNERSVILLE, NJ 08012 (856) 232-7474 |
| 1174858245 | HEALTH NETWORK LABORATORIES Organization | Clinical Medical Laboratory | 900 ROUTE 168 SUITE I-2 TURNERSVILLE, NJ 08012 (856) 383-5950 |
| 1861797789 | CARL A. VITOLA, DO PC Organization | Family Medicine | 900 ROUTE 168 SUITE C3 TURNERSVILLE, NJ 08012 (856) 374-0430 |
| 1063707206 | SUMMERVILLE COUNSELING SERVICES LLC Organization | Social Worker (Clinical) | 900 ROUTE 168 SUITE A-4 TURNERSVILLE, NJ 08012 (856) 343-9889 |
| 1144643180 | STACEY CURTIS PT Individual | Physical Medicine & Rehabilitation | 900 ROUTE 168 SUITE A-8 TURNERSVILLE, NJ 08012 (856) 227-1440 |
| 1710360557 | JOHNSON ASSOCIATES SYSTEMS, INC. Organization | Health Maintenance Organization | 900 ROUTE 168 SUITE F4 TURNERSVILLE, NJ 08012 (856) 228-2175 |
| 1972618254 | DIERING AND DIPIETRO ASSOCIATES PTRS Organization | Optometrist (Vision Therapy) | 900 ROUTE 168 SUITEE5 TURNERSVILLE, NJ 08012 (856) 227-0720 |
| 1649726571 | REHAB EXCELLENCE CENTER, LLC Organization | Physical Therapist | 900 ROUTE 168 SUITE A-8 TURNERSVILLE, NJ 08012 (856) 227-1440 |
| 1225571748 | ALLISON PFROMMER Individual | Physical Therapist | 900 ROUTE 168 TURNERSVILLE, NJ 08012 (856) 227-1440 |
| 1851363485 | DR. LESLIE N MADRAK D.O. Individual | Psychiatry & Neurology (Psychiatry) | 900 ROUTE 168 BLACKWOOD, NJ 08012 (856) 857-6920 |
| 1295864692 | DRS.MEDINA AND MARGALLO PEDIATRIC ASSOCIATES Organization | Pediatrics | 900 ROUTE 168 SUITE J2 TURNERSVILLE, NJ 08012 (856) 228-1103 |
| 1669195574 | KYLE J NELMS PTA Individual | Physical Therapy Assistant | 900 ROUTE 168 TURNERSVILLE, NJ 08012 (856) 227-1440 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497295109, enumerated in the NPI registry as an "organization" on February 28, 2017
The provider is located at 900 Route 168 Suite C#3 Blackwood, Nj 08012 and the phone number is (856) 857-6920
This medical organization specializes in Psychologist with taxonomy code 103TP0016X with a focus in Prescribing (Medical)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 28, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.