Active NPIIndividual provider

Dr. Jurgen H Kedesdy, PHD

Psychologist, Clinical in Worcester, Massachusetts

NPI Number1760460190
Practice location
55 Lake Ave N, Department Of Psychology, Worcester, MA 01655-0002
Fax
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Last updated
July 13, 2026

Jurgen H Kedesdy is a Psychologist, Clinical based in Worcester, MA. Jurgen H Kedesdy practices in Worcester, MA and has the professional credentials of PHD. The NPI Number for Jurgen H Kedesdy is 1760460190 and holds a License No. 3638 (MA). The current practice location address for Jurgen H Kedesdy is 55 Lake Ave N, Department Of Psychology, Worcester, MA 01655-0002 and can be reached out via phone at 508-856-3951.

Provider Profile Details

NPI Number
1760460190
Provider Name
Jurgen H Kedesdy
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Department Of Psychology, Worcester, MA 01655-0002
Phone Number
508-856-3951
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
January 5, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Department Of Psychology
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-856-3951
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 62
Turnpike Station
Shrewsbury, MA 01545-0062
City
Shrewsbury
State
MA
Zip
01545-0062
Phone Number
508-334-8815
Fax Number
508-334-5374

License Information

License Number
3638
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jurgen H Kedesdy, PHD?

The NPI number of Dr. Jurgen H Kedesdy, PHD is 1760460190. It was assigned on January 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jurgen H Kedesdy, PHD?

Dr. Jurgen H Kedesdy, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 3638.

Where does Dr. Jurgen H Kedesdy, PHD practice?

The practice location is 55 Lake Ave N, Department Of Psychology, Worcester, MA 01655-0002. The office can be reached at 508-856-3951 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760460190 directly on the NPPES registry website.

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