OrganizationActive
Kenneth M. Klebanow, M.D. & Associates, P.A.
NPI 1790233666 · Clinical Child & Adolescent Psychologist · Columbia, MD
Provider details
- NPI number
- 1790233666
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jessica Winkles, Psychologist(410) 794-4924
- License
- 05562 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
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
8821 Columbia 100 Pkwy
Columbia, MD 21045
Phone: (410) 997-1700
Fax: (410) 740-8315
Street-level locationGet directions
Mailing address
8821 Columbia 100 Pkwy
Columbia, MD 21045
Registry dates
- Enumerated
- 2016-09-20
- Last updated
- 2022-07-28
- Certified
- 2022-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.