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

Active since September 14, 2018PECOS Enrolled
111 S WASHINGTON AVE STE 202, PARK RIDGE, IL 60068(872) 228-5326 Get Directions Write a Review

NPPES record last updated: February 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2023, Dec 26, 2022, Dec 23, 2022 and 4 more (7 updates tracked since 2018).

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)
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068
Cook County (872) 228-5326
LAURALEA THOMAS NP
Nurse Practitioner (Family)
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068
Cook County (847) 423-6800
THE MINDFUOL METHOD, PLLC
Counselor (Mental Health)
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068
Cook County (224) 279-1060
EAGLIN AND ASSOCIATES COUNSELING, LTD.
Clinic/Center (Rehabilitation, Substance Use Disorder)
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068
Cook County (847) 881-6316
ALISON MICHELLE MAYER MS
Counselor (Mental Health)
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068
Cook County (224) 279-1060
MODERNMED RECOVERY, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
111 S WASHINGTON AVE STE 202
PARK RIDGE, IL 60068
Cook County (847) 423-6800

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 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.

Where is Kenneth Kikuchi located?

Kenneth Kikuchi practices at 111 S Washington Ave Ste 202, Park Ridge, IL 60068. The listed phone number is (872) 228-5326.

What is Kenneth Kikuchi's specialty?

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

Is Kenneth Kikuchi enrolled in Medicare?

Yes. Kenneth Kikuchi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Kikuchi was last updated on February 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.