Dr Mary Theresa Kennedy, PHD in Bayside, NY - Medicare Clinical Psychologist Provider

Dr Mary Theresa Kennedy, PHD is a medicare enrolled "Psychologist - Clinical" provider in Bayside, New York. She graduated from medical school in 1971 and has 54 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 217-04 Northern Blvd, Ste 16, Bayside, New York. You can reach out to her office (for appointments etc.) via phone at (718) 631-8939.

Dr Mary Theresa Kennedy is licensed to practice in New York (license number 00760201) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861479636.

Contact Information

	Dr Mary Theresa Kennedy, PHD
	217-04 Northern Blvd, Ste 16, Bayside, NY 11361-3500
	(718) 631-8939
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mary Theresa Kennedy
Gender	Female
Speciality	Clinical Psychologist
Experience	54 Years
Location	217-04 Northern Blvd, Bayside, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mary Theresa Kennedy graduated from medical school in 1971

NPI Data:

NPI Number: 1861479636
Provider Enumeration Date: 12/22/2005
Last Update Date: 09/03/2010

Medicare PECOS Information:

PECOS PAC ID: 8921296054
Enrollment ID: I20101216000144

Medical Identifiers

Medical identifiers for Dr Mary Theresa Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861479636	NPI	-	NPPES
01067481	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	00760201 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary Theresa Kennedy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mary Theresa Kennedy, PHD 218-11 Horace Harding Blvd, Bayside, NY 11364-2211 Ph: (718) 631-8939	Dr Mary Theresa Kennedy, PHD 217-04 Northern Blvd, Ste 16, Bayside, NY 11361-3500 Ph: (718) 631-8939

Reviews and Comments

Psychologist in Bayside, NY

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Mr. Spiro Michael Tsoumpariotis, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3642 204th St, Bayside, NY 11361 Phone: 917-747-6701 Fax: 718-482-0130

Dr Mary Theresa Kennedy, PHD - Medicare Psychologist in Bayside, NY