Provider Type Icon

KENNETH M. KLEBANOW M.D. & ASSOCIATES P.A. NPI 1790233666


NPI Information

NPI: 1790233666
Provider Name: KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A.
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

CLIA Number: 21D0214547

Address:
8821 COLUMBIA 100 PKWY
COLUMBIA, MD
ZIP 21045
Phone: (410) 997-1700
Get Directions

KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A. is a clinical child and adolescent psychologist in Columbia, MD. The provider is 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. KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A. NPI is 1790233666. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8821 COLUMBIA 100 PKWY
COLUMBIA, MD
ZIP 21045
Phone: (410) 997-1700
Fax: (410) 740-8315

The provider's authorized official is Jessica K. Winkles .
The authorized official title is Psychologist and has the following contact phone number (410) 794-4924.

The CLIA number assigned to this NPI record is 21D0214547 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2016 and was last updated on 7/28/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & Adolescent05562MARYLANDYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.