Kenneth A. Larsen, DMIN, PHD, ABMP
NPI 1053343707ActiveIndividual· Psychologist, Clinical· Bozeman, MT
Psychologist, Clinical (DMIN, PHD, ABMP) in Bozeman, Montana, licensed in MA, with an NPI issued in July 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1053343707 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMIN, PHD, ABMP |
| Sole proprietor | Yes |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Oct 7, 2024 |
| Certified by provider | Oct 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY2944MA | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MA) |
|---|
Education and affiliations
| Graduation year | 1979 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 41 clinical psychologists in Bozeman · All clinical psychologists in Montana