DR. KENNETH PODELL PH.D.
NPI 1811045404
Clinical Neuropsychologist in Houston, TX

NPI Status: Active since January 08, 2007

Contact Information

6560 FANNIN ST STE 802
HOUSTON, TX
ZIP 77030
Phone: (713) 441-3780
Fax: (713) 790-6468

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  • Individual
  • Male
  • Years of Experience 34
  • Clinical Neuropsychologist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KENNETH PODELL

This page provides the complete NPI Profile along with additional information for Kenneth Podell, a provider established in Houston, Texas with a medical specialization in Clinical Neuropsychologist and more than 34 years of experience. The healthcare provider is registered in the NPI registry with number 1811045404 assigned on January 2007. The practitioner's primary taxonomy code is 103G00000X with license number 36351 (TX). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1811045404
Provider Name
DR. KENNETH PODELL PH.D.
Gender
Male
Entity Type
Individual
Location Address
6560 FANNIN ST STE 802 HOUSTON, TX 77030
Location Phone
(713) 441-3780
Location Fax
(713) 790-6468
Mailing Address
6560 FANNIN ST STE 1840 HOUSTON, TX 77030
Mailing Phone
(713) 441-3780
Mailing Fax
(713) 790-6468
Medical School Name
OTHER
Graduation Year
1992
Is Sole Proprietor?
No
Enumeration Date
01-08-2007
Last Update Date
03-16-2025
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Location Map

Secondary Locations

  • Henry Ford Health System One Ford Place 1F -Behavioral
    Detroit, MI 48202
    (313) 876-6677

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
36351
License State
TX
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Wellpoint Essential Bronze 4000 HSA (+ Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
  • Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Catastrophic (+ Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
310963902MEDICAID (05)TX 
KP010294OTHER (01)COMMERCIAL-COMMERCIAL NUMBER
KP010294OTHER (01)CHAMPUS-CHAMPUS
PHD888810MEDICAID (05)MI 
7509104450OTHER (01)BLUE CROSS-BLUE CROSS

Medicare Participation & PECOS Enrollment Status

Kenneth Podell is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kenneth Podell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6204965536

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20121011000829

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

This service was performed 254 times for 60 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

This service was performed 62 times for 60 patients

Evaluation of neuropsychological test, each additional hour

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

This service was performed 103 times for 61 patients

Evaluation of neuropsychological test, first hour

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

This service was performed 65 times for 63 patients

Exam of neurobehavioral status, each additional hour

This procedure involves a thorough evaluation of your neurobehavioral status, focusing on brain functions that affect behavior and cognition. It's extended for an additional hour to gather more detailed information about your neurological health.

This service was performed 28 times for 27 patients

Exam of neurobehavioral status, first hour

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

This service was performed 71 times for 69 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1811045404, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 2 + 1 + 0 + 4 + 1 + 0 + 4 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1811045404.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Nurse Practitioner (Family)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Physician Assistant
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Nurse Practitioner (Family)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Psychiatry & Neurology (Vascular Neurology)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Psychiatry & Neurology (Vascular Neurology)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Psychiatry & Neurology (Neuromuscular Medicine)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Psychiatry & Neurology (Epilepsy)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6560 FANNIN ST STE 802
HOUSTON, TX 77030
Nurse Practitioner (Acute Care)
6560 FANNIN ST STE 802
HOUSTON, TX 77030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811045404, enumerated as an "individual" on January 08, 2007.

The provider is located at 6560 FANNIN ST STE 802 HOUSTON, TX 77030 and the phone number is (713) 441-3780.

Clinical Neuropsychologist with taxonomy code 103G00000X.

The provider might be accepting Accepts: Community Health Choice, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.