Mary Theresa Kennedy, PHD
Clinical Psychologist · Bayside, NY
Mary Theresa Kennedy, PHD is a clinical psychologist with a practice address in Bayside, New York, and NPI 1861479636, issued on Dec 22, 2005. Check the license (New York 00760201, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mary Theresa Kennedy
- Credential
- PHD
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 00760201 NY
Self-reported in NPPES; status is on the state search - Practice location
- 217-04 Northern Blvd, Bayside, NY 11361
- Phone
- (718) 631-8939
- Enumerated
- Dec 22, 2005
- Record last updated
- Sep 3, 2010 (not updated in 16 years: call before relying on the address or phone)
- Medicaid ID
- 01067481 NY
- Medicare enrollment
- Enrolled (PECOS I20101216000144); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 6,558 in New York → Look up another NPI →
Verify Mary Theresa Kennedy in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 00760201Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Mary Theresa Kennedy among 6,558 clinical psychologist records in New York
Mary Theresa Kennedy, PHD is one of 6,558 clinical psychologist records with a practice address in New York. 7% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 98% newer
- In a Medicare fileNo · 7% of these records are
- In the CMS Doctors and Clinicians fileYes · 19% of these records are
- Graduated1971 · median 1996 among the 1,251 with a school on file
- Record last updated2010 · 73% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
12 clinical psychologist records list a practice address in Bayside
They are 12 of the 1,478 NPPES records with a practice address in Bayside, and 6,558 clinical psychologist records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 6,558 in New York → Every provider in Bayside → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Angelo Caredo, PHDBayside, NY 113611659464634
- Georgios Mavrolefteros, PSY.D.Bayside, NY 113611619520608
- Aspasia Papadaki, PH.D.Bayside, NY 113611245281021
- Alberta Springer, PHDBayside, NY 113611982533519
- Alan Weinblatt, PSY.D.Bayside, NY 113611972676393
- Mary Beth Andrews, PHDLittle Neck, NY 113621740425636
- Tiffany AvonBayside, NY 113601912364373
- Christine Bartholoma, PHDBayside, NY 113601003322082
Common questions
What is Mary Theresa Kennedy, PHD's NPI number?
Mary Theresa Kennedy, PHD's National Provider Identifier (NPI) is 1861479636, issued on Dec 22, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Mary Theresa Kennedy, PHD located?
The NPPES record lists a practice address at 217-04 Northern Blvd, Bayside, NY, 11361. Phone: (718) 631-8939. Providers update this record themselves, so call before visiting.
How can I verify Mary Theresa Kennedy, PHD's license?
NPPES lists New York license number 00760201, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.