Kenneth Park, PHD
NPI 1457392912 · Clinical Psychologist · Lexington, MA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Park, PHD is a Clinical Psychologist provider in Lexington, MA (NPI 1457392912).
Provider details
- NPI number
- 1457392912
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 8300 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2022-07-11
- Certified
- 2022-07-11
Frequently asked questions
- What is Kenneth Park's NPI number?
- Kenneth Park's National Provider Identifier (NPI) is 1457392912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Park's specialty?
- Kenneth Park is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kenneth Park located?
- Kenneth Park's practice location on file with NPPES is 486 Lowell St, Lexington, MA 02420-2241.
- What is Kenneth Park's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Park is (617) 398-7297.
- Does Kenneth Park accept Medicare?
- Kenneth Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Park's NPI active?
- Yes — Kenneth Park's NPI (1457392912) is active in the NPPES registry as of the last update on 2022-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.