CHARLES J KENNEDY PHD
NPI 1528260130
Psychologist - Clinical in Johnstown, PA

Q: What is Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1528260130. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Q: What is Charles 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 Charles Kennedy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 June 05, 2007PECOS EnrolledAccepts Medicare Assignment

214 COLLEGE PARK PLZ, JOHNSTOWN, PA 15904(814) 262-0025(814) 266-8745 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Charles J Kennedy Phd NPPES

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

CHARLES J KENNEDY PHD (NPI 1528260130) is an individual clinical provider in Johnstown, Pennsylvania, licensed in Pennsylvania (PS015731) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1528260130

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameCHARLES J KENNEDYCredential: PHD

Location Address214 COLLEGE PARK PLZJohnstown, PA 15904-2833

Mailing Address214 College Park PlzJohnstown, PA 15904-2833 · (814) 262-0025 · Fax (814) 266-8745

Phone(814) 262-0025

Fax(814) 266-8745

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJune 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1528260130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS015731

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.

214 COLLEGE PARK PLZ, Johnstown, PA 15904

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Other Identifiers 4

Medicare UPINQ67022PA

Other1796076PA · Highmark

Medicaid1014900430001PA

Medicare ID-Type Unspecified099815PTYPA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles J Kennedy Phd 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 ID345259156

PECOS Enrollment IDI20060406000034

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

77 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15904 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

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

1%206 patients1/55-star benchmark: 97%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

PEERSTAR,LLC

Community/Behavioral Health

214 COLLEGE PARK PLZ
JOHNSTOWN, PA 15904

Cambria County (814) 262-0025

MICHELLE LYNN ZIMMERMAN

Behavior Analyst

214 COLLEGE PARK PLZ
JOHNSTOWN, PA 15904

Cambria County (814) 262-0025

JANELLE MARIE FLOOK

Behavior Technician

214 COLLEGE PARK PLZ
JOHNSTOWN, PA 15904

Cambria County (814) 262-0025

NULTON DIAGNOSTIC & TREATMENT CENTER, PC

Psychiatry & Neurology (Neurodevelopmental Disabilities)

214 COLLEGE PARK PLZ
JOHNSTOWN, PA 15904

Cambria County (814) 262-0025

MELISSA MCHUGH MS

Counselor (Mental Health)

214 COLLEGE PARK PLZ
JOHNSTOWN, PA 15904

Cambria County (814) 262-0025

LAUREL MEDICAL SUPPLIES, INC.

Prosthetic/Orthotic Supplier

214 COLLEGE PARK PLZ, SUITE 111
JOHNSTOWN, PA 15904

Cambria County (800) 338-1702

MS. NATALIE M RAMOS LPN

Licensed Practical Nurse

214 COLLEGE PARK PLZ
JOHNSTOWN, PA 15904

Cambria County (814) 262-0025

CHERYL MILLWARD RN

Registered Nurse (Psychiatric/Mental Health)

214 COLLEGE PARK PLZ
JOHNSTOWN, PA 15904

Cambria County (814) 262-0025

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 Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1528260130. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Charles Kennedy located?

Charles Kennedy practices at 214 College Park Plz, Johnstown, PA 15904. The listed phone number is (814) 262-0025.

What is Charles Kennedy's specialty?

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

Is Charles Kennedy enrolled in Medicare?

Yes. Charles 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.

When was this NPI record last updated?

The NPPES record for Charles Kennedy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.