DANIEL KENNEDY PSYD
NPI 1073747507
Psychologist - Clinical in Glassboro, NJ

Q: What is Daniel Kennedy's NPI number?

The NPI number for Daniel Kennedy is 1073747507. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Q: What is Daniel Kennedy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Kennedy was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 12, 2009PECOS EnrolledAccepts Medicare Assignment

65 MEADOWS DR, GLASSBORO, NJ 08028(609) 970-0640 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Daniel Kennedy Psyd NPPES

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

DANIEL KENNEDY PSYD (NPI 1073747507) is an individual clinical provider in Glassboro, New Jersey, licensed in Pennsylvania (PSO17612) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1073747507

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDANIEL KENNEDYCredential: PSYD

Location Address65 MEADOWS DRGlassboro, NJ 08028-2424

Mailing Address5 Christy Dr, Ste 207Chadds Ford, PA 19317-9667 · (609) 970-0640

Phone(609) 970-0640

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 12, 2009

Last NPPES UpdateFebruary 12, 2020

✔ NPI 1073747507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in PA · PSO17612✔ Licensed in NJ · 521800

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 37PC00376400 (NJ)

65 MEADOWS DR, Glassboro, NJ 08028

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Kennedy Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315260544

PECOS Enrollment IDI20141219000939

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.

Medicare Billing Reassignments

Medicare enrollment records show Daniel Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brandywine Neuropsychology Associates, Inc.

25 mi

Clinical Neuropsychologist

5 CHRISTY DR, SUITE 102
Chadds Ford, PA 19317

Reassigned Medicare billing, Pennsylvania enrollment
8 clinicians in this Medicare group

NPI 1265772693 (610) 999-1441

Senior Care Therapy LLC

95 mi

Clinical

85 CRESCENT AVE
Passaic, NJ 07055

Reassigned Medicare billing, New Jersey enrollment
319 clinicians in this Medicare group

NPI 1285898098 (973) 264-0023

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$185.05 typical visit price

range $61.59 – $185.05

Typical copayment $46.26 (range $15.39 – $46.26)

Most-billed visit code 99205

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Kennedy's NPI number?

The NPI number for Daniel Kennedy is 1073747507. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Where is Daniel Kennedy located?

Daniel Kennedy practices at 65 Meadows Dr, Glassboro, NJ 08028. The listed phone number is (609) 970-0640.

What is Daniel Kennedy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Daniel Kennedy enrolled in Medicare?

Yes. Daniel Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Daniel Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Kennedy reassigns Medicare benefits to 2 organizations: Brandywine Neuropsychology Associates, Inc. (Chadds Ford, PA) and Senior Care Therapy LLC (Passaic, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Kennedy was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.