DR. KENNETH R WALDMAN (PH.D.) – Counseling Psychologist, NPI 1073627725

DR. KENNETH R WALDMAN (PH.D.) is a healthcare provider. based in Houston, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 2-1460 TX (TX). The NPI Number for DR. KENNETH R WALDMAN (PH.D.) is 1073627725

Main info

Male
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH R WALDMAN (PH.D.)
NPI
1073627725
Phone
(713) 774-2122
Address
8303 SW FWY STE 330
Enumeration Date
19 August 2006
Last Update Date
12 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7137742122
Graduation Year
1975 (51 years ago)
PAC ID
8022133529
Group Practice PAC ID
3173588258
Professional Enrollment ID
I20100920001181
Address ID
TX770741601HO8303XFWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. KENNETH R WALDMAN (PH.D.)

  • 8303 SW FWY STE 330

    HOUSTON, TX 770741601

    Phone: (713) 774-2122

    Fax: (713) 774-3223

    Type: Location

  • 1428, Crystal Lake Circle East, Pearland, Brazoria County, Texas, 77584, United States

    PEARLAND, TX 775842567

    Phone: (713) 670-6626

    Fax: (713) 774-3223

    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: 2010-09-20

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
I20100920001181IClinical PsychologistTXTBD

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
90837Psychotherapy, 1 hour16115$0
90791Psychiatric diagnostic evaluation1313$0
View full utilization report →

Insurance plans in this area (ZIP 77074)

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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: 3173588258View full group profile
NameSpecialtyState
Clinical PsychologistTX

Reviews

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Frequently asked questions

Is there an official ID for DR. KENNETH R WALDMAN (PH.D.) in U.S. healthcare records?
The official identifier for DR. KENNETH R WALDMAN (PH.D.) is NPI 1073627725.
Is there an active status for DR. KENNETH R WALDMAN (PH.D.)?
For scheduling context, DR. KENNETH R WALDMAN (PH.D.) is shown as active in the registry.
What area of care is associated with DR. KENNETH R WALDMAN (PH.D.)?
DR. KENNETH R WALDMAN (PH.D.)'s record emphasizes Counseling Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KENNETH R WALDMAN (PH.D.)?
Travel planning: use Houston, Texas as the reference point for DR. KENNETH R WALDMAN (PH.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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