Kennedy Krieger Associates, Inc.
NPI 1053572958ActiveOrganization· Psychologist, Clinical Child & Adolescent· Baltimore, MD
Psychologist, Clinical Child & Adolescent in Baltimore, Maryland, registered in NPPES in June 2008, part of Kennedy Krieger Institute. The authorized official on file is Mike Neuman, Vice President Finance.
Overview
| NPI | 1053572958 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kennedy Krieger Institute |
| NPI issued | Jun 23, 2008 |
| Last updated in NPPES | Sep 16, 2020 |
| Certified by provider | Sep 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Child & Adolescent Primary | 103TC2200X | 30036 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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