OrganizationActive
Kennedy Krieger Associates, Inc.
NPI 1053572958 · Clinical Child & Adolescent Psychologist · Baltimore, MD
Provider details
- NPI number
- 1053572958
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Parent organization
- Kennedy Krieger Institute
- Organization subpart
- Yes
- Authorized official
- Mike Neuman, Vice President Finance(443) 923-1810
- License
- 30036 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
707 N. Broadway
Baltimore, MD 21205
Phone: (443) 923-9200
Fax: (443) 923-9405
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 744865
Atlanta, GA 30374
Other names (DBA / former)
- Other name
- Kennedy Krieger Institute
- Other name
- Kennedy Krieger Institute
Registry dates
- Enumerated
- 2008-06-23
- Last updated
- 2020-09-16
- Certified
- 2020-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.