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DR. KENT DAVID SMALLWOOD PH.D.
NPI 1679767016
Psychologist - Clinical in Center City, MN

Active since August 29, 2007PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
15251 PLEASANT VALLEY RD # CO7, CENTER CITY, MN 55012(651) 213-4169(651) 213-4515 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kent David Smallwood Ph.d. NPPES

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

DR. KENT DAVID SMALLWOOD PH.D. (NPI 1679767016) is an individual clinical provider in Center City, Minnesota, licensed in Minnesota (LP5358) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1679767016
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENT DAVID SMALLWOODCredential: PH.D.
Location Address15251 PLEASANT VALLEY RD # CO7Center City, MN 55012-9640
Mailing Address15251 Pleasant Valley Rd # Co7, Po Box 11Center City, MN 55012-9640 · (651) 213-4169 · Fax (651) 213-4515
Phone(651) 213-4169
Fax(651) 213-4515
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 29, 2007
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1679767016 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 MN · LP5358
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.
15251 PLEASANT VALLEY RD # CO7, Center City, MN 55012
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Other Identifiers 1

Medicaid9058IL

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

Dr. Kent David Smallwood 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 ID8325292428
PECOS Enrollment IDI20130124000438
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
339 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55012 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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 Kent Smallwood's NPI number?

The NPI number for Kent Smallwood is 1679767016. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Kent Smallwood located?

Kent Smallwood practices at 15251 Pleasant Valley Rd # Co7, Center City, MN 55012. The listed phone number is (651) 213-4169.

What is Kent Smallwood's specialty?

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

Is Kent Smallwood enrolled in Medicare?

Yes. Kent Smallwood 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.

Is Kent Smallwood affiliated with any hospitals?

According to CMS data, Kent Smallwood is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Kent Smallwood was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.