Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
KENNEDY HEALTH SYSTEM
Active
Organization
KENNEDY HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSS MICOLI MA, MHA (CORP. DIRECTOR, BEHAVIORAL HEALTH)
(856) 488-6701
Entity
Organization
Contact information
Practice address
454 HURFFVILLE CROSSKEYS RD, SEWELL, NJ 08080-2339
(856) 582-1419
(856) 582-7661
Mailing address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6500
(856) 488-6415
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up