Kenneth L Kassover, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

4300 Aurora Ave N
Suite 100
Seattle, WA 98103-7379

Phone

(206) 859-5030

Fax

(206) 859-5031

NPI assigned

May 24, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehabilitation Institute of Washington PLLC

  • Physical Therapist
  • Seattle, WA
  • NPI 1457433104
  NPD (past)

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1205129210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 AURORA AVE N",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037379",
            "telephone_number": "206-859-5030",
            "fax_number": "206-859-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 AURORA AVE N",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037379",
            "telephone_number": "206-859-5030",
            "fax_number": "206-859-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSOVER",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Connor Kassels, MD
• Julee Kasserman
• Nafessa Kassim, MSW
• Iman Rebecca Kassir, RN
• Danielle Kassmeier
• Karen Rae Kasting, M.D.
• Laura Scribner Kastner, PH.D.
• Sarah Frieda Kastoryano, DPT
• Josh Katchen, PA-C
• Karina Marie Katchko, M.D.

• Clinical Neuropsychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Neuropsychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.