MADISON KENNEDY LLC NPI 1356021422

NPI Information

NPI: 1356021422
Provider Name: MADISON KENNEDY, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
971 41ST ST UNIT 118
OAKLAND, CA
ZIP 94608
Phone: (714) 398-9745
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MADISON KENNEDY, LLC is a mental health (including community mental health center) clinic center in Oakland, CA. MADISON KENNEDY, LLC NPI is 1356021422. The provider is registered as an organization entity type.

The provider's business location address is:

971 41ST ST UNIT 118
OAKLAND, CA
ZIP 94608-997
Phone: (714) 398-9745

The provider's authorized official is Madison J Genovese .
The authorized official title is Lpcc and has the following contact phone number (714) 398-9745.

The enumeration date for this NPI number is 7/24/2023 and was last updated on 7/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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