Kenko Interventions

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KENKO INTERVENTIONS

Doing business as

Kenko Interventions

Practice address

111 S Washington Ave Ste 202
Park Ridge, IL 60068-4293

Phone

(872) 228-5326

NPI assigned

Dec 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Kikuchi, PSYDNPI 1831673862

Title

Owner

Phone

(872) 228-5326

Specialties & licenses 1

Addresses

Other names 1

• Kenko Interventions Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Kikuchi, PSY.D.

  • Clinical Psychologist
  • Park Ridge, IL
  • NPI 1831673862
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1013620657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S WASHINGTON AVE STE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684293",
            "telephone_number": "872-228-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S WASHINGTON AVE STE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684293",
            "telephone_number": "872-228-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENKO INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "KIKUCHI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "872-228-5326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenko Interventions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kenko Interventions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James D Keller, MD
• Robert Givens Kellogg, M.D.
• Maryann Kelly, M.D.
• Stephanie N Kemper, PT
• David Kempfert, PT, OT
• Patrick Kennedy Jr.
• Rachel Mary Kennedy, LCPC
• John P Kenney, DDS, MS
• Erik Kerber
• Karly Kern, CGC

• Clinical Psychologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.