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

Kennedy Psychiatric PC

Organization Psychiatry Physician · NPI 1780306290

Kennedy Psychiatric PC provides Psychiatry Physician services in New York, New York. Works from 3 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1160 5th Ave Apt 112
New York, NY 10029-6933
Phone: (929) 505-0504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 70 N Broadway, Nyack, NY 10960-2652 — (929) 505-0504
  • 120 Birchwood Ave, Nyack, NY 10960-1202 — (929) 434-0724

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1780306290
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nigel Kennedy — President · (929) 505-0504
NPI enumeratedSeptember 13, 2022
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address120 Birchwood Ave, Nyack, NY 10960-1202

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