Individual provider Active NPI

Kenneth Dale Hasseler, PHD

  • Clinical Neuropsychologist
  • Zanesville, OH
National Provider Identifier
1427125400
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
P.07601 Issued in OH
Practice address
601 Underwood St
Zanesville, OH 43701-3771
Phone
(605) 838-8403
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS016529 PA
Clinical Neuropsychologist 103G00000X 6301009161 MI
Clinical Neuropsychologist 103G00000X 502 SD
Rehabilitation Psychologist 103TR0400X 6301009161 MI
Rehabilitation Psychologist 103TR0400X 502 SD
Rehabilitation Psychologist 103TR0400X P.07601 OH
Rehabilitation Psychologist 103TR0400X PS016529 PA
Clinical Neuropsychologist 103G00000X P.07601 OH Primary

Addresses

Primary practice location

601 Underwood St
Zanesville, OH 43701-3771

Mailing address

601 Underwood St
Zanesville, OH 43701-3771
Phone (605) 838-8403

Other practice location 1

142 Hawthorn Dr
New Concord, OH 43762-9690
Phone (605) 838-8403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 2, 2018 through Aug 2, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P.07601OHMDClinical Neuropsychologist
6301009161MIMDRehabilitation Psychologist
PS016529PAMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Consultants, P.C. PastSince Jan 1, 2009 Accepting new patients

Organizations & group practices 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1427125400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNDERWOOD ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013771",
            "telephone_number": "605-838-8403",
            "fax_number": "740-261-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNDERWOOD ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013771",
            "telephone_number": "605-838-8403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Hawthorn Dr",
            "address_purpose": "LOCATION",
            "city": "New Concord",
            "state": "OH",
            "postal_code": "437629690",
            "country_code": "US",
            "telephone_number": "605-838-8403",
            "fax_number": "740-261-5066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSELER",
        "first_name": "KENNETH",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS016529",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301009161",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "SD",
            "license": "502",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MI",
            "license": "6301009161",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "SD",
            "license": "502",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "OH",
            "license": "P.07601",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "PA",
            "license": "PS016529",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "P.07601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.