DR. KENNETH KIKUCHI PSY.D. - NPI 1831673862 - Psychologist in Park Ridge, IL

Q: What is Kenneth Kikuchi's NPI number?

The NPI number for Kenneth Kikuchi is 1831673862. It was assigned to this individual provider in the NPPES registry on September 14, 2018. The provider is also known as Dr. Ken Kikuchi Psyd.

Q: What is Kenneth Kikuchi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Kikuchi was last updated on February 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Kenneth Kikuchi Psy.d. NPPES

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

DR. KENNETH KIKUCHI PSY.D. (NPI 1831673862) is an individual clinical provider in Park Ridge, Illinois, licensed in Illinois (071009712) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1831673862

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KENNETH KIKUCHICredential: PSY.D.

Location Address111 S WASHINGTON AVE STE 202Park Ridge, IL 60068-4293

Mailing Address4828 Fargo AveSkokie, IL 60077-3345 · (872) 228-5326

Phone(872) 228-5326

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateSeptember 14, 2018

Last NPPES UpdateFebruary 5, 20237 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2023

✔ NPI 1831673862 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 IL · 071009712

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.

111 S WASHINGTON AVE STE 202, Park Ridge, IL 60068

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Other Names 1

Other Name (5)Dr. Ken Kikuchi Psyd

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. Kenneth Kikuchi Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476925678

PECOS Enrollment IDI20230216002796

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

KENKO INTERVENTIONS

Psychologist (Clinical)