DR. KENTON LEE WERTMAN PH.D.
NPI 1609942721
Psychologist in Clayton, MO

Active since November 28, 2006PECOS Enrolled
130 S BEMISTON AVE, STE. 506, CLAYTON, MO 63105(314) 863-6161(314) 863-6695 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenton Lee Wertman Ph.d. NPPES

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

DR. KENTON LEE WERTMAN PH.D. (NPI 1609942721) is an individual psychologist in Clayton, Missouri, licensed in Missouri (01403) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609942721
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KENTON LEE WERTMANCredential: PH.D.
Location Address130 S BEMISTON AVE, STE. 506Clayton, MO 63105-1913
Mailing Address130 S Bemiston Ave, Ste. 506Clayton, MO 63105-1913 · (314) 863-6161 · Fax (314) 863-6695
Fax(314) 863-6695
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateJanuary 16, 2013
NPI 1609942721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 01403
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
130 S BEMISTON AVE, Clayton, MO 63105

Other Identifiers 2

Other000070720MO · Ptan
Medicare ID-Type Unspecified000070720MO · Medicare

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. Kenton Lee Wertman 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.

Other Providers at the Same Location NPPES 11

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

Psychologist (Clinical)
130 S BEMISTON AVE, SUITE 704-A
SAINT LOUIS, MO 63105
Social Worker (Clinical)
130 S BEMISTON AVE, SUITE 304
SAINT LOUIS, MO 63105
Social Worker (Clinical)
130 S BEMISTON AVE, SUITE 704
CLAYTON, MO 63105
Counselor (Mental Health)
130 S BEMISTON AVE, SUITE 703
SAINT LOUIS, MO 63105
Physical Therapist
130 S BEMISTON AVE, SUITE 404
CLAYTON, MO 63105
Social Worker (Clinical)
130 S BEMISTON AVE, SUITE 709
SAINT LOUIS, MO 63105
Psychologist (Cognitive & Behavioral)
130 S BEMISTON AVE, SUITE 710
SAINT LOUIS, MO 63105
Psychiatry & Neurology (Psychiatry)
130 S BEMISTON AVE, SUITE 506
SAINT LOUIS, MO 63105

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 Kenton Wertman's NPI number?

The NPI number for Kenton Wertman is 1609942721. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Kenton Wertman located?

Kenton Wertman practices at 130 S Bemiston Ave Ste. 506, Clayton, MO 63105. The listed phone number is (314) 863-6161.

What is Kenton Wertman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kenton Wertman enrolled in Medicare?

Yes. Kenton Wertman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenton Wertman was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.