Kenneth Gregory Small, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS-004858-L Issued in PA

Practice address

410 E Main St
Mechanicsburg, PA 17055-6515

Phone

(717) 795-8588

Fax

(717) 795-0541

NPI assigned

Aug 11, 2005

Last updated

Nov 7, 2023By the provider in NPPES

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

Enrolled in PA

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

Specialty

Clinical Psychologist

Education

West Virginia University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Hope and Healing LLCGroup PAC ID 6305123761, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Chambers Mills, PSY.D.

  • Psychologist
  • Camp Hill, PA
  • NPI 1023160660
  Medicare reassignment

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

• Center for Hope and Healing, LLC

  • Mental Health Counselor
  • Camp Hill, PA
  • NPI 1831543511
  Medicare reassignment Care Compare group NPD
• Associates in Behavioral Care

  • Cognitive & Behavioral Psychologist
  • Mechanicsburg, PA
  • NPI 1700901204
  NPD (past) Authorized official
• Dr. Kenneth G. Small

  • Clinical Psychologist
  • Mechanicsburg, PA
  • NPI 1487083226
  NPD (past) Authorized official

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1689676413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556515",
            "telephone_number": "717-795-8588",
            "fax_number": "717-795-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556515",
            "telephone_number": "717-795-8588",
            "fax_number": "717-795-0541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4349 Carlisle Pike",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170114252",
            "country_code": "US",
            "telephone_number": "717-775-3380",
            "fax_number": "717-775-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KENNETH",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-004858-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Simms
• Annaelena Siperko
• Glenn Scott Slick Jr., MD
• Kristen Slinkard
• Susan Mackie Slopey, MA
• Smilehaus Pediatric Dentistry, PLLC (Smilehaus)
• Smiles on Trindle Dental Care
• Adrianna Faith Smith
• Angela Renee Smith, CCC-SLP
• Ashlynne N Smith

• Clinical Psychologist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.