DR. KENNETH L DODGE (PH.D.) – Clinical Psychologist, NPI 1942289152

Clinical Psychologist

DR. KENNETH L DODGE (PH.D.) is a healthcare provider. based in Des moines, Iowa. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. 00873 (IA). The NPI Number for DR. KENNETH L DODGE (PH.D.) is 1942289152

Main info

Male

29 Years Of Experience

Accepts Medicare Assignment

Name

DR. KENNETH L DODGE (PH.D.)

NPI

1942289152

Phone

(515) 244-2541

Address

118 WATER ST

Enumeration Date

16 January 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5152394410

Graduation Year

1997 (29 years ago)

PAC ID

1052303401

Group Practice PAC ID

8921090374

Professional Enrollment ID

I20111012000138

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KENNETH L DODGE (PH.D.)

Water Street Brownstones II, 118, Water Street, Court District, Des Moines, Polk County, Iowa, 50309, United States
# 323
DES MOINES, IA 503094779
Phone: (515) 244-2541
Type: Mailing
West Ames Eye Center, 3600, Lincoln Way, Ames, Story County, Iowa, 50014, United States
SUITE 4
AMES, IA 500147595
Phone: (515) 239-4410
Fax: (515) 663-4885
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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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 50309)

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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: 8921090374View full group profile

Name	Specialty	State
MR. NICK STULL (ARNP, PMHNP-BC)	Nurse Practitioner	IA
DR. MICHAEL JOHN LELWICA (PSY.D.)	Clinical Psychologist	IA
DR. EVAN ROBERT BUIKEMA (PSY.D.)	Clinical Psychologist	IA
LILY ELIZABETH PETERSON-WILLIBY (LISW)	-	IA
JODY L KAPUSTKA (ARNP)	Nurse Practitioner	IA
MRS. KATIE COLLEEN ZOSKE (LISW)	Clinical Social Worker	IA
LISA RENEE GRIFFITH (LMHC/MS)	Mental Health Counselor	IA
DR. JAMES RICHARD III DONALDSON (PH.D.)	-	IA
DR. KENNETH JAMES ISRAEL (PH.D.)	-	IA
MS. ELIZABETH WELDER WAGNER (L.I.S.W.)	-	IA

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Frequently asked questions

Where can patients find DR. KENNETH L DODGE (PH.D.)'s NPI?

You can confirm DR. KENNETH L DODGE (PH.D.) with NPI 1942289152; it appears in the national provider directory.

Is DR. KENNETH L DODGE (PH.D.) active in the national directory?

DR. KENNETH L DODGE (PH.D.)'s public NPI profile is in an active state.

What field does DR. KENNETH L DODGE (PH.D.) work in?

You can think of DR. KENNETH L DODGE (PH.D.) as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.

Does DR. KENNETH L DODGE (PH.D.) practice in Iowa?

You will see Des Moines, Iowa on file for DR. KENNETH L DODGE (PH.D.) alongside any extra practice locations.

How can I contact DR. KENNETH L DODGE (PH.D.)?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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