Kenneth Wayne Littlefield, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3529 Issued in AZ

Practice address

1 E Apache St
Wickenburg, AZ 85390-2442

Phone

(928) 684-4359

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

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

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Littlefield Psychological Services, Inc

  • Psychologist
  • Sun City, AZ
  • NPI 1639694987
  NPD Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922217520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16848 W BRIDLINGTON AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853746865",
            "telephone_number": "623-546-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E APACHE ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853902442",
            "telephone_number": "928-684-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLEFIELD",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Kray, LCSW
• Laboratory Corporation of America
• Christopher Thomas Larson
• Courtney Leboeuf, PMHNP-BC
• Tara Renae Littell, PT, DPT
• Debra Jayne Loder, R.D.N.
• Lottis & Associates, P.C.
• Karen J. Lottis, PHD, FNP
• Patrick Dean Lynch, M.D.
• Julie A Macias, MA

• Psychologist in Wickenburg, AZ
• Providers in Wickenburg, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.