MICHAEL KENNEY PHD
NPI 1073569349
Psychologist in Saint Louis, MO

Active since May 26, 2006PECOS Enrolled
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5667 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Kenney Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL KENNEY PHD (NPI 1073569349) is an individual psychologist in Saint Louis, Missouri, licensed in Missouri (01353) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1073569349
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMICHAEL KENNEYCredential: PHD
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5667
Sole ProprietorYes
Enumeration DateMay 26, 2006
Last NPPES UpdateNovember 9, 2020
NPPES CertifiedNovember 9, 2020
NPI 1073569349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 01353
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1465 S GRAND BLVD, Saint Louis, MO 63104

Secondary Practice Location 1

Location 110777 Sunset office Dr., Suite 315Saint Louis, MO 63127 · Phone (314) 965-0101 · Fax (314) 965-2562

Other Identifiers 1

Medicaid493318406MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Kenney Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Physical Medicine & Rehabilitation
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Radiology (Diagnostic Radiology)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Radiology (Pediatric Radiology)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychologist
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychologist
1465 S GRAND BLVD
SAINT LOUIS, MO 63104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073569349, enumerated as an "individual" on May 26, 2006.

The provider is located at 1465 S GRAND BLVD SAINT LOUIS, MO 63104 and the phone number is (314) 577-5667.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Oscar Insurance. Please consult your insurance carrier or call the provider to verify.