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

Kennedy Medical Group Practice PC

Organization Psychologist · NPI 1497295109

Kennedy Medical Group Practice PC is a Psychologist in Blackwood, New Jersey. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

900 Route 168 Ste C#3
Blackwood, NJ 08012-3233
Phone: (856) 857-6920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X
Psychologist Taxonomy 103T00000X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X

Record details

NPI number1497295109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carman Ciervo — Cpe · (856) 344-7360
Other names Kennedy Health Alliance
NPI enumeratedFebruary 28, 2017
Last updated in NPPESFebruary 28, 2017
Mailing address900 Route 168, Suite C#3, Blackwood, NJ 08012-3233

Other providers in Blackwood