Kenneth Park, PHD
Clinical Psychologist · Lexington, MA
Kenneth Park, PHD is a clinical psychologist with a practice address in Lexington, Massachusetts, and NPI 1457392912, issued on Jun 8, 2006. Check the license (Massachusetts 8300, as entered in NPPES) with the Massachusetts board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kenneth Park
- Credential
- PHD
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 8300 MA
Self-reported in NPPES; status is on the state search - Practice location
- 486 Lowell St, Lexington, MA 02420
- Phone
- (617) 398-7297
- Enumerated
- Jun 8, 2006
- Record last updated
- Jul 11, 2022
- Medicare enrollment
- Enrolled (PECOS I20051205000572); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 3,185 in Massachusetts → Look up another NPI →
Also registered at 486 Lowell St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Hyemee Han, PH.D.Clinical Psychologist1063519403
Verify Kenneth Park in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
Search for license 8300Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- The General Hospital CorporationBoston, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kenneth Park among 3,185 clinical psychologist records in Massachusetts
Kenneth Park, PHD is one of 3,185 clinical psychologist records with a practice address in Massachusetts. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 70% newer
- In a Medicare fileYes · 12% of these records are
- In the CMS Doctors and Clinicians fileYes · 24% of these records are
- Graduated2002 · median 2000 among the 777 with a school on file
- Record last updated2022 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
63 clinical psychologist records list a practice address in Lexington
They are 63 of the 1,467 NPPES records with a practice address in Lexington, and 3,185 clinical psychologist records in Massachusetts.
All 3,185 in Massachusetts → Every provider in Lexington → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Anthony Bram, PHDLexington, MA 024201376608935
- Linda Bram, PHDLexington, MA 024201699825851
- Stephanie Brody, PSY.D.Lexington, MA 024201376528075
- Hyemee Han, PH.D.Lexington, MA 024201063519403
- Rita Hurwitz, PH.D.Lexington, MA 024201356427835
- Gary Joslow, MED, PHD CANDLexington, MA 024201235270943
- Jennifer Lebovidge, PH.D.Lexington, MA 024201972542769
- Ruth Lull, PSYDLexington, MA 024201780751347
Common questions
What is Kenneth Park, PHD's NPI number?
Kenneth Park, PHD's National Provider Identifier (NPI) is 1457392912, issued on Jun 8, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Park, PHD located?
The NPPES record lists a practice address at 486 Lowell St, Lexington, MA, 02420. Phone: (617) 398-7297. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Park, PHD's license?
NPPES lists Massachusetts license number 8300, as entered by the provider. Search the Massachusetts board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.