DR. SAMANTHA LEIGH KENNEDY
NPI 1588049415
Psychologist in Visalia, CA

Active since July 21, 2015PECOS EnrolledAccepts Medicare Assignment
88.98/100
CMS Quality Rating
400 W MINERAL KING AVE, VISALIA, CA 93291(559) 624-2000 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 1, 2019, Aug 13, 2018, Sep 11, 2017 (3 updates tracked since 2017).

About Dr. Samantha Leigh Kennedy NPPES

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

DR. SAMANTHA LEIGH KENNEDY (NPI 1588049415) is an individual psychologist in Visalia, California, licensed in California (PSY29326) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1588049415
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SAMANTHA LEIGH KENNEDY
Location Address400 W MINERAL KING AVEVisalia, CA 93291
Mailing Address400 W Mineral King AveVisalia, CA 93291-6237 · (559) 624-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 21, 2015
Last NPPES UpdateMay 1, 20193 updates tracked since enumeration
NPI 1588049415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY29326
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
400 W MINERAL KING AVE, Visalia, CA 93291

Secondary Practice Locations 2

Location 1400 W Mineral King AveVisalia, CA 93291 · Phone (559) 624-2000
Location 24865 Truxtun AveBakersfield, CA 93309-0605 · Phone (661) 634-0789

Accepted Insurance

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

Dr. Samantha Leigh Kennedy 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 ID6507105707
PECOS Enrollment IDI20190306001110
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.

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.

88.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.44
Promoting Interoperability100
Improvement Activities40
Cost61.9

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.

Emergency Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Family Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Nurse Practitioner (Acute Care)
400 W MINERAL KING AVE
VISALIA, CA 93291
Hospitalist
400 W MINERAL KING AVE
VISALIA, CA 93291
Anesthesiology
400 W MINERAL KING AVE
VISALIA, CA 93291
Thoracic Surgery (Cardiothoracic Vascular Surgery)
400 W MINERAL KING AVE
VISALIA, CA 93291
Nurse Anesthetist, Certified Registered
400 W MINERAL KING AVE, KAWEAH DELTA MEDICAL CENTER
VISALIA, CA 93291
Social Worker (Clinical)
400 W MINERAL KING AVE
VISALIA, CA 93291

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 Samantha Kennedy's NPI number?

The NPI number for Samantha Kennedy is 1588049415. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Where is Samantha Kennedy located?

Samantha Kennedy practices at 400 W Mineral King Ave, Visalia, CA 93291. The listed phone number is (559) 624-2000.

What is Samantha Kennedy's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Samantha Kennedy enrolled in Medicare?

Yes. Samantha 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.

What insurance does Samantha Kennedy accept?

Health plans from Providence Health Plan list Samantha Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Kennedy was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.