IndividualActive
Kenneth Kubicek, PHD, LCPC
NPI 1063290773 · Psychologist · Maryville, IL
Kenneth Kubicek, PHD, LCPC is a Psychologist provider in Maryville, IL (NPI 1063290773).
Provider details
- NPI number
- 1063290773
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, LCPC
- Sex
- Male
- Sole proprietor
- No
- License
- 180.002041 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3 Oak Dr Ste B
Maryville, IL 62062-5635
Phone: (618) 972-1568
Fax: (618) 205-3561
Street-level locationGet directions
Mailing address
3 Oak Dr Ste B
Maryville, IL 62062-5635
Registry dates
- Enumerated
- 2023-09-15
- Last updated
- 2023-09-15
- Certified
- 2023-09-15
Frequently asked questions
- What is Kenneth Kubicek's NPI number?
- Kenneth Kubicek's National Provider Identifier (NPI) is 1063290773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Kubicek's specialty?
- Kenneth Kubicek is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Kenneth Kubicek located?
- Kenneth Kubicek's practice location on file with NPPES is 3 Oak Dr Ste B, Maryville, IL 62062-5635.
- What is Kenneth Kubicek's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Kubicek is (618) 972-1568.
- Is Kenneth Kubicek's NPI active?
- Yes — Kenneth Kubicek's NPI (1063290773) is active in the NPPES registry as of the last update on 2023-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.