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DR. MARY LYNNE KENNEDY
NPI 1376619239
Clinical Neuropsychologist in Providence, RI

Active since November 24, 2006
21 PEACE ST, PROVIDENCE, RI 02907(401) 456-3309 Get Directions Write a Review

NPPES record last updated: September 27, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Lynne Kennedy NPPES

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

DR. MARY LYNNE KENNEDY (NPI 1376619239) is an individual clinical neuropsychologist in Providence, Rhode Island, licensed in Rhode Island (PS00572) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1376619239
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. MARY LYNNE KENNEDY
Location Address21 PEACE STProvidence, RI 02907-1510
Mailing Address200 High Service AveNorth Providence, RI 02904-5113
Phone(401) 456-3309
Sole ProprietorYes
Enumeration DateNovember 24, 2006
Last NPPES UpdateSeptember 27, 2007
✔ NPI 1376619239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in RI · PS00572
Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License PS00572 (RI)
21 PEACE ST, Providence, RI 02907
Open in Google Maps ↗

Other Identifiers 1

OtherPS00572RI · License Number

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.

OCEAN STATE URGENT CARE AT ST JOSEPH HEALTH CENTER LLC
Clinic/Center (Urgent Care)
21 PEACE ST
PROVIDENCE, RI 02907
Providence County (301) 314-3999
DR. STANLEY JOHN STUTZ JR.
Orthopaedic Surgery
21 PEACE ST, CORPORATE CARE
PROVIDENCE, RI 02907
Providence County (401) 456-4020
NILSA I RODRIGUEZ
Interpreter
21 PEACE ST
PROVIDENCE, RI 02907
Providence County (401) 456-3309
ELLIOT CHIU DMD
Dentist
21 PEACE ST, ST. JOSEPH PEDI. DENTAL
PROVIDENCE, RI 02907
Providence County (401) 456-4441
DR. NICHOLAS PAQUIN DMD
Dentist
21 PEACE ST
PROVIDENCE, RI 02907
Providence County (401) 456-4461
DR. JON A MUKAND
Physical Medicine & Rehabilitation
21 PEACE ST
PROVIDENCE, RI 02907
Providence County (401) 456-4409
ST JOSEPH HEALTH SERVICES OF RHODE ISLAND
Family Medicine
21 PEACE ST
PROVIDENCE, RI 02907
Providence County (401) 456-3309
ST. JOSEPH HEALTH SERVICES OF RI
Internal Medicine
21 PEACE ST
PROVIDENCE, RI 02907
Providence County (401) 456-4325

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 Mary Kennedy's NPI number?

The NPI number for Mary Kennedy is 1376619239. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Mary Kennedy located?

Mary Kennedy practices at 21 Peace St, Providence, RI 02907. The listed phone number is (401) 456-3309.

What is Mary Kennedy's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Mary Kennedy was last updated on September 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.