IndividualActive
Kenneth Kassover, PH.D.
NPI 1205129210 · Clinical Neuropsychologist · Seattle, WA
Provider details
- NPI number
- 1205129210
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% 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
4300 Aurora Ave N
Suite 100
Seattle, WA 98103-7379
Phone: (206) 859-5030
Fax: (206) 859-5031
Street-level locationGet directions
Mailing address
4300 Aurora Ave N
Seattle, WA 98103-7379
Registry dates
- Enumerated
- 2011-05-24
- Last updated
- 2011-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.