Dr. Kenneth J. McDonald, Psy.D., LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DR. KENNETH J. MCDONALD, PSY.D., LLC

Practice address

356 East Elkhorn Ave.
Estes Park, CO 80517

Phone

(415) 264-9504

NPI assigned

Feb 21, 2019

Last updated

Feb 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth McDonald, PSYDNPI 1366910028

Title

Owner

Phone

(415) 264-9504

Specialties & licenses 1

Addresses

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.

• Kenneth J McDonald, PSYD

  • Clinical Psychologist
  • Boulder, CO
  • NPI 1366910028
  Authorized official Same address or phone

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1861959355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9347 SUGARLOAF RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029221",
            "telephone_number": "415-264-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 EAST ELKHORN AVE.",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "80517",
            "telephone_number": "415-264-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KENNETH J. MCDONALD, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-264-9504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel M Rauk DDS
• Susan Ann Day, M.S.
• Sarah L Dech, M.D.
• Paige Dekker, D.O
• Cynthia L Di Lauro, MD
• Bridget Ann Dunn, MD
• Karin Edwards, PT
• Katherine C Eike, LCSW, MSW
• Elk Ridge Dentistry
• Estes Community Care Ambulance LLC

• Adult Mental Health Clinic/Center in Estes Park, CO
• Providers in Estes Park, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.