Kennedy Medical Group Practice P.C.
NPI 1497295109 · Prescribing (Medical) Psychologist · Blackwood, NJ
Kennedy Medical Group Practice P.C. is a Prescribing (Medical) Psychologist organization in Blackwood, NJ (NPI 1497295109).
Provider details
- NPI number
- 1497295109
- Entity type
- Organization
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Carman Ciervo, Cpe(856) 344-7360
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kennedy Health Alliance
Registry dates
- Enumerated
- 2017-02-28
- Last updated
- 2017-02-28
Frequently asked questions
- What is Kennedy Medical Group Practice P.C.'s NPI number?
- Kennedy Medical Group Practice P.C.'s National Provider Identifier (NPI) is 1497295109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kennedy Medical Group Practice P.C.?
- Kennedy Medical Group Practice P.C. is classified in the NPPES registry as Prescribing (Medical) Psychologist (Behavioral Health & Social Service Providers).
- Where is Kennedy Medical Group Practice P.C. located?
- Kennedy Medical Group Practice P.C.'s practice location on file with NPPES is 900 Route 168, Blackwood, NJ 08012-3233.
- What is Kennedy Medical Group Practice P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Kennedy Medical Group Practice P.C. is (856) 857-6920.
- Who is the authorized official for Kennedy Medical Group Practice P.C.?
- The authorized official listed on Kennedy Medical Group Practice P.C.'s NPPES record is Carman Ciervo, Cpe. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kennedy Medical Group Practice P.C.'s NPI active?
- Yes — Kennedy Medical Group Practice P.C.'s NPI (1497295109) is active in the NPPES registry as of the last update on 2017-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.