KEVIN HIGGINS – Clinical Psychologist, NPI 1174818249

KEVIN HIGGINS is a healthcare provider. based in San jose, California. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. PSY29234 (CA). The NPI Number for KEVIN HIGGINS is 1174818249

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN HIGGINS
NPI
1174818249
Phone
(408) 729-9700
Address
5504 MONTEREY HWY
Enumeration Date
16 June 2011
Last Update Date
6 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5107708040
Graduation Year
2015 (11 years ago)
PAC ID
0547783839
Group Practice PAC ID
1658349824
Professional Enrollment ID
I20250327001192
Address ID
CA945382211FR39500STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

Provider Addresses for KEVIN HIGGINS

  • 5504 MONTEREY HWY

    SAN JOSE, CA 951381529

    Phone: (408) 729-9700

    Type: Location

  • 1466 LINCOLN AVE

    SAN RAFAEL, CA 949012021

    Phone: (415) 457-3755

    Fax: (415) 457-0849

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250327001192IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95138)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658349824View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalCA
Internal MedicineCA
Pediatric MedicineCA
Internal MedicineCA
Internal MedicineCA
Nurse PractitionerMO
Internal MedicineCA
Internal MedicineCA
Nurse PractitionerCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the standard ID for KEVIN HIGGINS in the U.S.?
In the U.S., KEVIN HIGGINS is identified by NPI 1174818249.
Quick check: is KEVIN HIGGINS active?
Public NPPES data shows KEVIN HIGGINS with an active NPI status right now.
What type of care does KEVIN HIGGINS provide?
KEVIN HIGGINS's profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to KEVIN HIGGINS?
The directory associates KEVIN HIGGINS with San Jose, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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