DR. KENNETH GREGORY SMALL PH.D.
NPI 1689676413
Psychologist - Clinical in Mechanicsburg, PA
About Dr. Kenneth Gregory Small Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH GREGORY SMALL PH.D. (NPI 1689676413) is an individual clinical provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (PS-004858-L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Camp Hill, and is a graduate of West Virginia University School Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kenneth Gregory Small 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.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Small reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Camp Hill, PA 17011
- Reassigned Medicare billing, Pennsylvania enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MECHANICSBURG, PA 17055
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 Small's NPI number?
The NPI number for Kenneth Small is 1689676413. It was assigned to this individual provider in the NPPES registry on August 11, 2005.
Where is Kenneth Small located?
Kenneth Small practices at 410 E Main St, Mechanicsburg, PA 17055. The listed phone number is (717) 795-8588.
What is Kenneth Small's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kenneth Small enrolled in Medicare?
Yes. Kenneth Small 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.
Which organization bills Medicare for Kenneth Small's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Small reassigns Medicare benefits to Center For Hope And Healing, LLC (Camp Hill, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Small's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Small was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Kenneth Gregory Small, PH.D. · NPI 1689676413
Clinical provider in Mechanicsburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 11, 2005.
## Identity
- **NPI:** 1689676413 (Entity type: Individual)
- **Enumerated:** August 11, 2005
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PS-004858-L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 410 E MAIN ST, Mechanicsburg, PA 17055-6515
- **Phone:** (717) 795-8588 · **Fax:** (717) 795-0541
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Center For Hope And Healing, LLC (NPI 1831543511, Camp Hill, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 1985
## Record status
- **NPPES last updated:** November 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1689676413) · Data from the CMS NPPES public registry.