JOHN C KENNEDY (MD) – Psychiatry Physician, NPI 1700943545
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,022 PSYCHIATRY in NY
Provider Addresses for JOHN C KENNEDY (MD)
1 Atwell Rd
Cooperstown, NY 13326
Phone: (607) 547-3525
Type: Location
Mercy Health – Fairfield Hospital, 3000, Mack Road, Fairfield, Butler County, Ohio, 45014, United States
FAIRFIELD, OH 450145335
Phone: (513) 870-7146
Fax: (513) 870-7065
Type: Mailing
2901 Squalicum Pkwy
Bellingham, WA 982251851
Phone: (360) 788-6993
Type: Location
1117 Spring St
Friday Harbor, WA 982509782
Phone: (360) 378-2141
Type: Location
3100 Tongass Ave
Ketchikan, AK 999015746
Phone: (907) 228-7660
Type: Location
2000 Hospital Dr
Sedro Woolley, WA 982844327
Phone: (360) 856-7581
Type: Location
1015 NW 22nd Ave
Portland, OR 972103025
Phone: (503) 413-8949
Type: Location
2211 Rimland Dr Ste 320
Bellingham, WA 982266014
Phone: (360) 752-5175
Type: Location
30 E BROAD ST
COLUMBUS, OH 432153414
Phone: (614) 214-5387
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050303000720 | I | Psychiatry | OH | TBD |
| I20250912000633 | I | Psychiatry | MI | TBD |
| I20260223001809 | I | Psychiatry | WA | TBD |
| I20260224000119 | I | Psychiatry | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 13326)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| Family Practice | MI | |
| Emergency Medicine | IL | |
| - | GA | |
| Emergency Medicine | MI | |
| Emergency Medicine | MI | |
| Physician Assistant | MI | |
| - | MI |
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