DR. KENNETH RAY SLADKIN MD
NPI 1447320049
Psychiatry & Neurology - Child & Adolescent Psychiatry in Jacksonville, NC

Q: What is Kenneth Sladkin's NPI number?

The NPI number for Kenneth Sladkin is 1447320049. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is Kenneth Sladkin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Sladkin was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 09, 2006PECOS Enrolled

192 VILLAGE DR, JACKSONVILLE, NC 28546(910) 577-1400 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, Nov 16, 2023 (2 updates tracked since 2023).

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About Dr. Kenneth Ray Sladkin Md NPPES

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

DR. KENNETH RAY SLADKIN MD (NPI 1447320049) is an individual child & adolescent psychiatry provider in Jacksonville, North Carolina, licensed in Florida (ME57376) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447320049

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. KENNETH RAY SLADKINCredential: MD

Location Address192 VILLAGE DRJacksonville, NC 28546-7299

Mailing Address8132 King Helie BlvdNew Port Richey, FL 34653-1435 · (727) 834-3959 · Fax (727) 816-1964

Phone(910) 577-1400

Sole ProprietorNo

Enumeration DateNovember 9, 2006

Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2024

✔ NPI 1447320049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in FL · ME57376

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

192 VILLAGE DR, Jacksonville, NC 28546

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Secondary Practice Locations 2

Location 11163 Country Club RdMonongahela, PA 15063-1095 · Phone (724) 258-1000

Location 21603 Cottragewood DrBrandon, FL 33510-2816 · Phone (813) 381-3135

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. Kenneth Ray Sladkin 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.

Other Providers at the Same Location NPPES 11

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

BRYNN MARR HOSPITAL, INC

Psychiatric Residential Treatment Facility