IndividualActive
Kenneth Beavers, PHD
NPI 1124005400 · Psychologist · Columbus, OH
Kenneth Beavers, PHD is a Psychologist provider in Columbus, OH (NPI 1124005400).
Provider details
- NPI number
- 1124005400
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4271 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1115 Bethel Rd
Columbus, OH 43220-2690
Phone: (614) 459-3003
Fax: (614) 451-3017
Street-level locationGet directions
Mailing address
1115 Bethel Rd
Columbus, OH 43220-2690
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Beavers's NPI number?
- Kenneth Beavers's National Provider Identifier (NPI) is 1124005400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Beavers's specialty?
- Kenneth Beavers is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Kenneth Beavers located?
- Kenneth Beavers's practice location on file with NPPES is 1115 Bethel Rd, Columbus, OH 43220-2690.
- What is Kenneth Beavers's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Beavers is (614) 459-3003.
- Is Kenneth Beavers's NPI active?
- Yes — Kenneth Beavers's NPI (1124005400) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.