Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kennedy Krieger Associates, Inc

Organization Clinical Child & Adolescent Psychologist · NPI 1053572958

Kennedy Krieger Associates, Inc is a Clinical Child & Adolescent Psychologist in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2008.

Licensed in
MD
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

707 N Broadway
Baltimore, MD 21205
Phone: (443) 923-9200
Fax: (443) 923-9405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 30036 (MD)

Record details

NPI number1053572958
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKennedy Krieger Institute
Authorized official Mike Neuman — Vice President Finance · (443) 923-1810
Other names Kennedy Krieger Institute; Kennedy Krieger Institute
NPI enumeratedJune 23, 2008
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020
Mailing addressP.O. Box 744865, Atlanta, GA 30374

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