DR. KENNETH ALLEN BEAVERS (PHD) – Psychologist, NPI 1124005400

DR. KENNETH ALLEN BEAVERS (PHD) is a healthcare provider. based in Columbus, Ohio. specializing in Psychologist. They hold the professional credentials PHD. They hold a License No. 4271 (OH). The NPI Number for DR. KENNETH ALLEN BEAVERS (PHD) is 1124005400

Main info

Male
Sole Proprietor
Name
DR. KENNETH ALLEN BEAVERS (PHD)
NPI
1124005400
Phone
(614) 459-3003
Address
1115 BETHEL RD
Enumeration Date
28 December 2005
Last Update Date
8 July 2007
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 ALLEN BEAVERS (PHD)

  • Bethel Road, Northcrest, Columbus, Sharon, Franklin County, Ohio, 43220, United States

    COLUMBUS, OH 432202690

    Phone: (614) 459-3003

    Fax: (614) 451-3017

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 43220)

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Reviews

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Frequently asked questions

Is DR. KENNETH ALLEN BEAVERS (PHD) listed with a National Provider Identifier?
Yes — DR. KENNETH ALLEN BEAVERS (PHD) has NPI 1124005400 on file in the registry.
Active or inactive — what applies to DR. KENNETH ALLEN BEAVERS (PHD)?
You should see DR. KENNETH ALLEN BEAVERS (PHD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. KENNETH ALLEN BEAVERS (PHD)?
DR. KENNETH ALLEN BEAVERS (PHD)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KENNETH ALLEN BEAVERS (PHD)?
Travel planning: use Columbus, Ohio as the reference point for DR. KENNETH ALLEN BEAVERS (PHD), then confirm.
Does DR. KENNETH ALLEN BEAVERS (PHD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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