Kenneth Philip Sausen, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1272 Issued in NM

Practice address

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Phone

(757) 953-5269

NPI assigned

Oct 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1215211396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 TORRINGTON CIR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234361140",
            "telephone_number": "858-414-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-5269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Boone Rd",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983121894",
            "country_code": "US",
            "telephone_number": "360-475-4219",
            "fax_number": "360-475-4596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUSEN",
        "first_name": "KENNETH",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "1272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keneth Kwame Sarpong, MD
• Steven Sartore, DO
• Naomi Sato, DO
• David W Satterthwaite, PHARMD
• Daniel Sausen
• Bettina Mae Sauter, D.O.
• Saved With Amazing Grace Home Care Services
• Erika Anne Sawicki
• Danielle Denise Sawyer, PHARMD
• Joshua Aaron Sawyer

• Clinical Psychologist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.