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DR. PAUL VINCENT KENNEDY MD
NPI 1194763904
Psychiatry & Neurology - Psychiatry in Montclair, NJ

Active since June 03, 2006PECOS Enrolled
117 WATCHUNG AVE, 2ND FLOOR, MONTCLAIR, NJ 07043(973) 783-2984(973) 783-5074 Get Directions Write a Review

NPPES record last updated: August 19, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul Vincent Kennedy Md NPPES

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

DR. PAUL VINCENT KENNEDY MD (NPI 1194763904) is an individual psychiatry provider in Montclair, New Jersey, licensed in New Jersey (38919) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194763904
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PAUL VINCENT KENNEDYCredential: MD
Location Address117 WATCHUNG AVE, 2ND FLOORMontclair, NJ 07043-1710
Mailing Address5 Fairfield StMontclair, NJ 07042-4113 · (973) 783-2984 · Fax (973) 783-5074
Phone(973) 783-2984
Fax(973) 783-5074
Sole ProprietorYes
Enumeration DateJune 3, 2006
Last NPPES UpdateAugust 19, 2010
✔ NPI 1194763904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · 38919
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 38919 (NJ)
117 WATCHUNG AVE, Montclair, NJ 07043
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Other Identifiers 5

Medicaid0224804NJ
Medicare PIN145626YA79NJ
Medicare ID-Type Unspecified521865
OtherP00836064NJ · Rr Medicare
Medicare UPINE52467

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Vincent Kennedy Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07043 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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 Paul Kennedy's NPI number?

The NPI number for Paul Kennedy is 1194763904. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Paul Kennedy located?

Paul Kennedy practices at 117 Watchung Ave 2nd Floor, Montclair, NJ 07043. The listed phone number is (973) 783-2984.

What is Paul Kennedy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Paul Kennedy enrolled in Medicare?

Yes. Paul Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Kennedy was last updated on August 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.