DR. NANCY A KENNEDY PHD
NPI 1447280094
Psychologist - Clinical in Chicago, IL

Q: What is Nancy Kennedy's NPI number?

The NPI number for Nancy Kennedy is 1447280094. It was assigned to this individual provider in the NPPES registry on July 3, 2006. The provider is also known as Dr. Nancy A Johnson Phd.

Q: What is Nancy Kennedy's specialty?

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

Q: Is Nancy Kennedy enrolled in Medicare?

No. Nancy Kennedy has opted out of Medicare through February 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Nancy Kennedy was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 July 03, 2006Opted out of Medicare · through Feb 15, 2027

676 N SAINT CLAIR ST, SUITE 945, CHICAGO, IL 60611(312) 695-7902(312) 695-6072 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Nancy A Kennedy Phd NPPES

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

DR. NANCY A KENNEDY PHD (NPI 1447280094) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071005268) and active in the NPI registry since July 2006. She has opted out of Medicare through February 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447280094

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NANCY A KENNEDYCredential: PHD

Location Address676 N SAINT CLAIR ST, SUITE 945Chicago, IL 60611-2927

Mailing Address676 N Saint Clair St, Suite 945Chicago, IL 60611-2927 · (312) 695-7902 · Fax (312) 695-6072

Phone(312) 695-7902

Fax(312) 695-6072

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateApril 1, 2015

✔ NPI 1447280094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071005268

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 ListedClinical NeuropsychologistTaxonomy 103G00000X · License 2003-57 (WI)

676 N SAINT CLAIR ST, Chicago, IL 60611

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Other Names 1

Former Name (1)Dr. Nancy A Johnson Phd

Other Identifiers 1

Medicare UPIN322820

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nancy A Kennedy Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 15, 2019 through February 15, 2027.

Opt-Out Effective DateFebruary 15, 2019

Opt-Out In Effect ThroughFebruary 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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.

MS. LISA RAUBOLT

Social Worker (Clinical)

676 N SAINT CLAIR ST
CHICAGO, IL 60611

Cook County (312) 926-4512

JULIANNA L ROTH MD

Internal Medicine

676 N SAINT CLAIR ST, SUITE 2300
CHICAGO, IL 60611

Cook County (312) 926-6000

ANKIT BHARAT MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

676 N SAINT CLAIR ST, SUITE 650
CHICAGO, IL 60611

Cook County (312) 926-7628

JOAQUIN CARLOS BRIEVA MD

Dermatology

676 N SAINT CLAIR ST, SUITE 1600
CHICAGO, IL 60611

Cook County (312) 695-8106

JOHN M SHAW MD

Internal Medicine (Medical Oncology)

676 N SAINT CLAIR ST, STE 2140
CHICAGO, IL 60611

Cook County (312) 664-5400

MELVIN J GOLDSTEIN, M.D.,S.C.

Internal Medicine (Gastroenterology)

676 N SAINT CLAIR ST, SUITE 1525
CHICAGO, IL 60611

Cook County (312) 337-1556

DR. HOWARD M. AROF M.D.

Obstetrics & Gynecology

676 N SAINT CLAIR ST, #1880
CHICAGO, IL 60611

Cook County (312) 642-9844

DR. MARIA MATSANGOU M.D.

Internal Medicine (Hematology & Oncology)

676 N SAINT CLAIR ST, SUITE 850
CHICAGO, IL 60611

Cook County (312) 695-6182

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 Nancy Kennedy's NPI number?

The NPI number for Nancy Kennedy is 1447280094. It was assigned to this individual provider in the NPPES registry on July 3, 2006. The provider is also known as Dr. Nancy A Johnson Phd.

Where is Nancy Kennedy located?

Nancy Kennedy practices at 676 N Saint Clair St Suite 945, Chicago, IL 60611. The listed phone number is (312) 695-7902.

What is Nancy Kennedy's specialty?

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

Is Nancy Kennedy enrolled in Medicare?

No. Nancy Kennedy has opted out of Medicare through February 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nancy Kennedy was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.