DR. KENNETH WILLIAM III VOLK (PSY.D.) – Counselor, NPI 1669821096

DR. KENNETH WILLIAM III VOLK (PSY.D.) is a healthcare provider. based in Indiana, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PS019125 (PA). The NPI Number for DR. KENNETH WILLIAM III VOLK (PSY.D.) is 1669821096

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH WILLIAM III VOLK (PSY.D.)
NPI
1669821096
Phone
(724) 465-5576
Address
793 OLD ROUTE 119 HWY N
Enumeration Date
7 June 2016
Last Update Date
13 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2672773179
Graduation Year
2018 (8 years ago)
PAC ID
1658715636
Group Practice PAC ID
7416341474
Professional Enrollment ID
I20240217000352
Address ID
PA191036216PH255XXSTXX407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,669 CLINICAL PSYCHOLOGIST in PA

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Provider Addresses for DR. KENNETH WILLIAM III VOLK (PSY.D.)

  • 793, Old Route 119 Highway North, Chevy Chase Heights, White Township, Indiana County, Pennsylvania, 15701, United States

    INDIANA, PA 157011372

    Phone: (724) 465-5576

    Fax: (724) 465-6379

    Type: Mailing

  • 331 Wayne Ave

    Springfield, PA 190642602

    Phone: (410) 733-2748

    Type: Location

  • 331 WAYNE AVE

    SPRINGFIELD, PA 190642602

    Phone: (410) 733-2748

    Type: Mailing

  • 255 S 17TH ST STE 1900

    PHILADELPHIA, PA 191036231

    Phone: (267) 209-3727

    Type: Location

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: 2024-02-17

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
I20240217000352IClinical PsychologistPATBD

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 15701)

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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: 7416341474View full group profile
NameSpecialtyState
Mental Health CounselorPA
Clinical Social WorkerPA
Mental Health CounselorNJ
Clinical PsychologistPA
P S Y C H I A T R YPA
Mental Health CounselorPA
Clinical PsychologistPA
Clinical PsychologistPA
Clinical PsychologistPA
Clinical PsychologistNJ

Reviews

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Frequently asked questions

What is DR. KENNETH WILLIAM III VOLK (PSY.D.)'s NPI number?
DR. KENNETH WILLIAM III VOLK (PSY.D.)'s NPI is 1669821096 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. KENNETH WILLIAM III VOLK (PSY.D.)?
For scheduling context, DR. KENNETH WILLIAM III VOLK (PSY.D.) is shown as active in the registry.
What kind of doctor is DR. KENNETH WILLIAM III VOLK (PSY.D.)?
DR. KENNETH WILLIAM III VOLK (PSY.D.) is associated with Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is DR. KENNETH WILLIAM III VOLK (PSY.D.) associated with Indiana?
Public fields place DR. KENNETH WILLIAM III VOLK (PSY.D.) around Indiana, Pennsylvania. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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