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Kenko Interventions

NPI 1013620657ActiveOrganization· Psychologist, Clinical· Park Ridge, IL

Psychologist, Clinical in Park Ridge, Illinois, registered in NPPES in December 2022. The authorized official on file is Kenneth Kikuchi, PSYD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1013620657
StatusActive
Entity typeOrganization
NPI issuedDec 28, 2022
Last updated in NPPESMar 22, 2023
Certified by providerMar 22, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IL)

Medicare sources and data years

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