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KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A.
NPI 1790233666
Psychologist - Clinical Child & Adolescent in Columbia, MD

Active since September 20, 2016CLIA 21D0214547 · Waiver
8821 COLUMBIA 100 PKWY, COLUMBIA, MD 21045(410) 997-1700(410) 740-8315 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2022, Sep 20, 2016 (2 updates tracked since 2016).

About Kenneth M. Klebanow, M.d. & Associates, P.a. NPPES

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

KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A. (NPI 1790233666) is a healthcare organization registered as a clinical child & adolescent in Columbia, Maryland and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Jessica K. Winkles, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1790233666
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameKENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A.
Location Address8821 COLUMBIA 100 PKWYColumbia, MD 21045
Mailing Address8821 Columbia 100 PkwyColumbia, MD 21045 · (410) 997-1700 · Fax (410) 740-8315
Phone(410) 997-1700
Fax(410) 740-8315
Organization SubpartNo
Authorized OfficialJessica K. WinklesPsychologist · (410) 794-4924
Enumeration DateSeptember 20, 2016
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1790233666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MD · 05562
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
8821 COLUMBIA 100 PKWY, Columbia, MD 21045
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0214547

Kenneth M Klebanow & Associates · Columbia, MD
Active · expires Oct 31, 2026
CLIA Number21D0214547
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorDr. Dana E. Wollney
Laboratory Phone(410) 997-1700
Laboratory LocationKenneth M Klebanow & Associates8821 Columbia 100 Parkway, Columbia, MD 21045
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

LYNN SCHWARTZ M.AC., L.AC.
Acupuncturist
8821 COLUMBIA 100 PKWY, SUITE 5
COLUMBIA, MD 21045
Howard County (410) 992-9340
ACUWORKS
Acupuncturist
8821 COLUMBIA 100 PKWY, SUITE 5
COLUMBIA, MD 21045
Howard County (410) 375-3829
JENNA COSENTINO MATTHAI CRNP
Nurse Practitioner (Pediatrics)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Howard County (410) 997-1700
HOPE TERLE-BIRD M.S., C.R.N.P.
Nurse Practitioner (Pediatrics)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Howard County (410) 992-0510
JAMES D ANTHONY M.D.
Pediatrics (Adolescent Medicine)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Howard County (410) 992-0510
TRUSTED DOCTORS LLC
Pediatrics
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Howard County (410) 997-1700
MRS. PENNI EUGINA PARLER M.S., C.R.N.P.
Nurse Practitioner (Pediatrics)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Howard County (410) 997-1700
DANA ELLIOTT WOLLNEY M.D.
Pediatrics
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Howard County (410) 997-0500

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 Kenneth M. Klebanow, M.D. & Associates, P.A.'s NPI number?

The NPI number for Kenneth M. Klebanow, M.D. & Associates, P.A. is 1790233666. It was assigned to this organization in the NPPES registry on September 20, 2016.

Where is Kenneth M. Klebanow, M.D. & Associates, P.A. located?

Kenneth M. Klebanow, M.D. & Associates, P.A. is located at 8821 Columbia 100 Pkwy, Columbia, MD 21045. The listed phone number is (410) 997-1700.

What is Kenneth M. Klebanow, M.D. & Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Does Kenneth M. Klebanow, M.D. & Associates, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0214547) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kenneth M. Klebanow, M.D. & Associates, P.A. was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.