DR. KENNETH GREGORY SMALL PH.D.
NPI 1689676413
Psychologist - Clinical in Mechanicsburg, PA

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
410 E MAIN ST, MECHANICSBURG, PA 17055(717) 795-8588(717) 795-0541 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 and is a graduate of West Virginia University School Of Medicine (1985).

NPPES Registry Identity

NPI1689676413
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENNETH GREGORY SMALLCredential: PH.D.
Location Address410 E MAIN STMechanicsburg, PA 17055-6515
Mailing Address410 E Main StMechanicsburg, PA 17055-6515 · (717) 795-8588 · Fax (717) 795-0541
Fax(717) 795-0541
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1985
Enumeration DateAugust 11, 2005
Last NPPES UpdateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
NPI 1689676413 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 PA · PS-004858-L
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.

410 E MAIN ST, Mechanicsburg, PA 17055

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. 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.

PECOS PAC ID4284826991
PECOS Enrollment IDI20101012001311
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.
452 services22 patients

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.

New Patient
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Counselor (Professional)
410 E MAIN ST
MECHANICSBURG, PA 17055
Counselor (Professional)
410 E MAIN ST
MECHANICSBURG, PA 17055
Counselor (Professional)
410 E MAIN ST
MECHANICSBURG, PA 17055
Counselor (Mental Health)
410 E MAIN ST
MECHANICSBURG, PA 17055
Psychologist (Clinical)
410 E MAIN ST
MECHANICSBURG, PA 17055
Psychologist (Cognitive & Behavioral)
410 E MAIN ST
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.

When was this NPI record last updated?

The NPPES record for Kenneth Small was last updated on November 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.