KENNETH RAVEN PH.D.
NPI 1003955311
Psychologist - Clinical in Thousand Oaks, CA

Q: What is Kenneth Raven's NPI number?

The NPI number for Kenneth Raven is 1003955311. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Kenneth Raven's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Raven was last updated on August 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment

25 W. ROLLING OAKS DR., SUITE #107, THOUSAND OAKS, CA 91361(805) 497-7001(805) 498-8076 Get Directions Write a Review

NPPES record last updated: August 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kenneth Raven Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH RAVEN PH.D. (NPI 1003955311) is an individual clinical provider in Thousand Oaks, California, licensed in California (PSY6491) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1003955311

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameKENNETH RAVENCredential: PH.D.

Location Address25 W. ROLLING OAKS DR., SUITE #107Thousand Oaks, CA 91361-1003

Mailing Address25 W. Rolling Oaks Dr., Suite #107Thousand Oaks, CA 91361-1003 · (805) 497-7001 · Fax (805) 498-8076

Phone(805) 497-7001

Fax(805) 498-8076

Sole ProprietorYes

Medical School CMSOtherGraduated 1979

Enumeration DateFebruary 5, 2007

Last NPPES UpdateAugust 25, 2015

✔ NPI 1003955311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY6491

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

25 W. ROLLING OAKS DR., Thousand Oaks, CA 91361

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Raven Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800911470

PECOS Enrollment IDI20100920000675

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91361 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$185.36 typical visit price

range $62.32 – $185.36

Typical copayment $46.34 (range $15.58 – $46.34)

Most-billed visit code 99205

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Raven's NPI number?

The NPI number for Kenneth Raven is 1003955311. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Kenneth Raven located?

Kenneth Raven practices at 25 W. Rolling Oaks Dr. Suite #107, Thousand Oaks, CA 91361. The listed phone number is (805) 497-7001.

What is Kenneth Raven's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kenneth Raven enrolled in Medicare?

Yes. Kenneth Raven is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Raven was last updated on August 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.