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

Individual provider Clinical Psychologist · NPI 1629845763

Dr. Jordan Nicole Kennon, PSYD is a Clinical Psychologist in Birmingham, Alabama. Qualified in 2023, 3 years ago. Practices with Baal Perazim Wellness Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Alabama and Illinois.

Years since qualifying
3
Licensed in
AL, IL
In the registry since
2023
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1717 6th Ave S
Birmingham, AL 35233-1801
Phone: (205) 934-3454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.011301 (IL)
Rehabilitation Psychologist Taxonomy 103TR0400X (AL)

Record details

NPI number1629845763
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedDecember 8, 2023
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Baal Perazim Wellness Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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