MR. KENNETH R ROUGHTON PHD
NPI 1124178090
Psychologist - Clinical in Dayton, WA

Active since January 11, 2007
221 E WASHINGTON AVE, DAYTON, WA 99328(509) 382-1164(509) 382-1166 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth R Roughton Phd NPPES

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

MR. KENNETH R ROUGHTON PHD (NPI 1124178090) is an individual clinical provider in Dayton, Washington, licensed in Washington (PY00002083) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1124178090
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. KENNETH R ROUGHTONCredential: PHD
Location Address221 E WASHINGTON AVEDayton, WA 99328-1317
Mailing Address511 E Race StDayton, WA 99328-1646 · (509) 382-1383 · Fax (509) 382-1166
Fax(509) 382-1166
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1124178090 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 WA · PY00002083
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.
221 E WASHINGTON AVE, Dayton, WA 99328

Other Identifiers 1

Medicare PIN8809081WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
221 E WASHINGTON AVE
DAYTON, WA 99328
Case Manager/Care Coordinator
221 E WASHINGTON AVE
DAYTON, WA 99328
Case Manager/Care Coordinator
221 E WASHINGTON AVE
DAYTON, WA 99328
Case Manager/Care Coordinator
221 E WASHINGTON AVE
DAYTON, WA 99328
Case Manager/Care Coordinator
221 E WASHINGTON AVE
DAYTON, WA 99328
Case Manager/Care Coordinator
221 E WASHINGTON AVE
DAYTON, WA 99328
Social Worker
221 E WASHINGTON AVE
DAYTON, WA 99328
Case Manager/Care Coordinator
221 E WASHINGTON AVE
DAYTON, WA 99328

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 Roughton's NPI number?

The NPI number for Kenneth Roughton is 1124178090. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Kenneth Roughton located?

Kenneth Roughton practices at 221 E Washington Ave, Dayton, WA 99328. The listed phone number is (509) 382-1164.

What is Kenneth Roughton's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenneth Roughton was last updated on July 9, 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.