Dr. Maureen Carolyn Kennedy, Psy.D.
Psychologist, Rehabilitation in Minneapolis, MN. Individual provider (NPI-1).
NPI number1316022015
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1316022015
- Entity type
- Individual (NPI-1)
- Name
- Dr. Maureen Carolyn Kennedy
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TR0400X | Psychologist, Rehabilitation | – | – | Yes |
| 103TC1900X | Psychologist, Counseling | – | – |
Practice location
1 Veterans DrMinneapolis, MN 55417-2309
Phone 612-725-2000 · Fax 612-467-2144
Mailing address
4293 Deerwood Ln NPlymouth, MN 55441-1909
Phone 763-551-0316
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Rehabilitation Psychologist providers in Minneapolis, MN
- Judy K Ayers, M.S.NPI 1861513202
- Gary Michael GoldetskyNPI 1124129382
- Asha GoudeNPI 1538031919
- Phillip B Haber, M.S, PSY.D.NPI 1689795015
- Abby D. Howard, PH.D.NPI 1790953495
- Kyla Leonard, PHDNPI 1730042581
All 7 Rehabilitation Psychologist providers in Minneapolis · All 27,202 providers in Minneapolis
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