Individual provider Active NPI

Kenneth Jay Karger, PH.D.

  • Clinical Psychologist
  • Wooster, OH
National Provider Identifier
1407860992
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2147 Issued in OH
Practice address
1302 Center Dr
Wooster, OH 44691-4510
Phone
(330) 345-5465
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2147 OH Primary

Addresses

Primary practice location

1302 Center Dr
Wooster, OH 44691-4510

Mailing address

1302 Center Dr
Wooster, OH 44691-4510
Phone (330) 345-5465

Other practice location 1

2285 Benden Dr
Wooster, OH 44691-2568
Phone (330) 264-9029

Other identifiers 1

IdentifierTypeStateIssuer
0312487MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000071 OH Practitioner - Clinical Psychologist 9537103239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1974
Medicare assignment
May accept Medicare assignment
Group practices
Counseling Center of Wayne and Holmes CountiesGroup PAC ID 5991794224, 13 clinicians

Practice addresses (Care Compare)

1302 Ctr Dr
Wooster, OH 44691

1302 Ctr Dr
Wooster, OH 44691-4510
Phone (330) 345-5465

2285 Benden Dr
Wooster, OH 44691-2568
Phone (330) 264-9029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2147OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of Wayne & Holmes Counties CurrentSince Aug 16, 2021 Accepting new patients
Psychology Consultants Inc Clinical PastSince Nov 7, 1997 Accepting new patients

Locations

2285 Benden Dr
Wooster, OH 44691
Phone (330) 263-0380

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1407860992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 CENTER DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914510",
            "telephone_number": "330-345-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 CENTER DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914510",
            "telephone_number": "330-345-5465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2285 Benden Dr",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446912568",
            "country_code": "US",
            "telephone_number": "330-264-9029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARGER",
        "first_name": "KENNETH",
        "middle_name": "JAY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0312487",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.