DR. KENNETH A WOLKON (PHD) – Psychologist, NPI 1760564447

DR. KENNETH A WOLKON (PHD) is a healthcare provider. based in Norwood, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 312 (MA). The NPI Number for DR. KENNETH A WOLKON (PHD) is 1760564447

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH A WOLKON (PHD)
NPI
1760564447
Phone
(781) 551-0999
Address
89 ACCESS RD
Enumeration Date
20 October 2006
Last Update Date
5 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7815510999
Graduation Year
1970 (56 years ago)
PAC ID
3779571534
Group Practice PAC ID
5991763823
Professional Enrollment ID
I20040504000408
Address ID
MA020625233NO89XXXRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. KENNETH A WOLKON (PHD)

  • 89, Access Road, Norwood, Norfolk County, Massachusetts, 02062-3650, United States

    SUITE 24

    NORWOOD, MA 020625229

    Phone: (781) 551-0999

    Fax: (781) 551-3396

    Mailing address matches the actual address.

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: 2004-05-04

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
I20040504000408IClinical PsychologistMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes22014$0
View full utilization report →

Insurance plans in this area (ZIP 02062)

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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: 5991763823View full group profile

Reviews

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Frequently asked questions

Is DR. KENNETH A WOLKON (PHD) listed with a National Provider Identifier?
Yes — DR. KENNETH A WOLKON (PHD) has NPI 1760564447 on file in the registry.
Is there an active status for DR. KENNETH A WOLKON (PHD)?
For scheduling context, DR. KENNETH A WOLKON (PHD) is shown as active in the registry.
What expertise is attributed to DR. KENNETH A WOLKON (PHD)?
DR. KENNETH A WOLKON (PHD)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is DR. KENNETH A WOLKON (PHD) registered?
Use Norwood, Massachusetts as the headline location for DR. KENNETH A WOLKON (PHD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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