DR. KENNETH J GARCIA (M.D.) – Psychiatry Physician, NPI 1154374544

DR. KENNETH J GARCIA (M.D.) is a healthcare provider. based in Derby, Connecticut. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 174464 (NY). The NPI Number for DR. KENNETH J GARCIA (M.D.) is 1154374544

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH J GARCIA (M.D.)
NPI
1154374544
Phone
(203) 732-1330
Address
130 Division St
Enumeration Date
18 May 2006
Last Update Date
7 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
0244289502
Professional Enrollment ID
I20240328003530
Address ID
PA152510000PIPOXXXBOXX200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

851 PSYCHIATRY in CT

Provider Addresses for DR. KENNETH J GARCIA (M.D.)

  • 130 Division St

    Derby, CT 064181326

    Phone: (203) 732-1330

    Fax: (203) 732-1332

    Type: Location

  • 1575 Washington St

    Watertown, NY 136019367

    Phone: (315) 779-5060

    Fax: (315) 779-5028

    Type: Location

  • 6 GLEN COVE DR

    ROCKPORT, ME 048564272

    Phone: (207) 301-8000

    Type: Location

  • 1575, Washington Street, Watertown, Jefferson County, New York, 13601, United States

    WATERTOWN, NY 136019367

    Phone: (315) 779-5060

    Fax: (315) 779-5028

    Type: Mailing

  • Griffin Hospital, 130, Division Street, Derby, New Haven County, Connecticut, 06418-1326, United States

    DERBY, CT 064181326

    Phone: (203) 732-1330

    Fax: (203) 732-1332

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($170).

Total Amount

$247

General + Research + Ownership

Payments

5

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050113000871IPsychiatryNYTBD
I20240328003530IPsychiatryMETBD
I20241104001571IPsychiatryRITBD

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 06418)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How is DR. KENNETH J GARCIA (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KENNETH J GARCIA (M.D.) with NPI 1154374544.
Can I rely on DR. KENNETH J GARCIA (M.D.) being an active provider?
As of the registry snapshot, DR. KENNETH J GARCIA (M.D.) is marked active.
What taxonomy line describes DR. KENNETH J GARCIA (M.D.)?
For research purposes, treat DR. KENNETH J GARCIA (M.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KENNETH J GARCIA (M.D.) on a map?
Expect Derby, Connecticut as a primary anchor for DR. KENNETH J GARCIA (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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