DR. KENNETH HUNTER CRITTENDEN PH.D.
NPI 1023179322
Psychologist - Clinical in Sebastopol, CA

Q: What is Kenneth Crittenden's NPI number?

The NPI number for Kenneth Crittenden is 1023179322. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Kenneth Crittenden's specialty?

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

Active since December 12, 2006PECOS Enrolled

501 SWAIN AVE, SEBASTOPOL, CA 95472(707) 823-1122 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Kenneth Hunter Crittenden Ph.d. NPPES

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

DR. KENNETH HUNTER CRITTENDEN PH.D. (NPI 1023179322) is an individual clinical provider in Sebastopol, California, licensed in California (PSY13667) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023179322

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KENNETH HUNTER CRITTENDENCredential: PH.D.

Location Address501 SWAIN AVESebastopol, CA 95472-4339

Mailing Address501 Swain AveSebastopol, CA 95472-4339 · (707) 823-1122

Phone(707) 823-1122

Sole ProprietorYes

Enumeration DateDecember 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023179322 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 · PSY13667

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.

501 SWAIN AVE, Sebastopol, CA 95472

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Other Identifiers 1

Medicare ID-Type Unspecified0PL136670CA · Medicare Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Hunter Crittenden Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95472 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

$187.01 typical visit price

range $63.04 – $187.01

Typical copayment $46.75 (range $15.76 – $46.75)

Most-billed visit code 99205

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 Crittenden's NPI number?

The NPI number for Kenneth Crittenden is 1023179322. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Kenneth Crittenden located?

Kenneth Crittenden practices at 501 Swain Ave, Sebastopol, CA 95472. The listed phone number is (707) 823-1122.

What is Kenneth Crittenden's specialty?

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

Is Kenneth Crittenden enrolled in Medicare?

Yes. Kenneth Crittenden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Crittenden was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.