KENNETH LOCKE (NPI# 1659793867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659793867 |
| Entity Type | Individual |
| Full Name | KENNETH LOCKE |
| Credential | PH.D. |
| Practice Address |
121 W Sweet Ave University of Idaho - Child & Youth Study Center Moscow ID 83844-4061 |
| Practice Telephone | 2088856191 |
| Practice Fax Number | 2088856188 |
| Mailing Telephone | 2088856191 |
| Mailing Fax Number | 2088856188 |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-202758 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124054044 | Kenneth Rudolph Locke | Psychiatry & Neurology | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-06-23 |
| 1518947886 | Kenneth Dudley Locke | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2006-01-20 |
| Street Address |
121 W SWEET AVE UNIVERSITY OF IDAHO - CHILD & YOUTH STUDY CENTER |
| City | MOSCOW |
| State | ID |
| Zip Code | 83844-4061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578118568 | Rechelle Ann Meade | Specialist/Technologist | 875 Perimeter Drive, Moscow, ID 83844 | 2019-08-06 |
| 1194253302 | Tyler Atkinson | Specialist/Technologist | 875 Perimeter Dr, Moscow, ID 83844 | 2017-06-01 |
| 1720618960 | Samantha Layne Hanna | Specialist/Technologist | 875 Perimeter Drive College of Education 123, Moscow, ID 83844-0001 | 2020-01-15 |
| 1649764713 | Clarissa Marie Edge Richardson | Psychologist | University of Idaho Student Health Center 210, Moscow, ID 83844-0001 | 2018-06-21 |
| 1588193577 | Carmen Perez | Specialist/Technologist | University of Idaho 709 South Deakin St, Moscow, ID 83844-0001 | 2017-06-05 |
| 1013445220 | Alec Webbenhurst | Specialist/Technologist | University of Idaho Athletic Training 875 Dr, Moscow, ID 83844-0001 | 2017-06-01 |
| 1194990044 | William A. Cone | Psychiatry & Neurology | 831 Ash St, Moscow, ID 83844-0001 | 2008-04-22 |
| 1467855403 | Clint Emmett | Nurse Practitioner | 875 Perimeter Dr # Ms 3140, Moscow, ID 83844-2006 | 2014-10-06 |
| 1922529544 | Christopher John Walsh Jr. | Specialist/Technologist | University of Idaho Athletic Training Services, 1000 Stadium Way, Moscow, ID 83844-2302 | 2017-07-05 |
| 1700284262 | Megan Renae Shifflett | Specialist/Technologist | 875 Perimeter Dr # Ms 2302, Moscow, ID 83844-2302 | 2014-12-16 |
| Find all providers in zip 83844 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215062179 | Mark Francis Yama | Psychologist | Psychology and Comm Studies, University of Idaho, Moscow, ID 83844-3043 | 2007-02-22 |
| 1730238445 | Walter Rand Walker | Psychologist | 2301 W A St Ste C, Moscow, ID 83843-4042 | 2007-01-10 |
| 1154485936 | Maria Amy Gartstein | Psychologist | 2301 West A St, Suite C, Moscow, ID 83843-4042 | 2006-12-19 |
| 1063469203 | Priscilla D. Hernandez Hacker | Psychologist | 2301 W A St, Suite C, Moscow, ID 83843-4038 | 2006-05-30 |
| 1689007742 | Brian Clifford Hopper | Psychologist | 106 E 3rd St, 5b, Moscow, ID 83843-2970 | 2013-08-13 |
| 1447303870 | Educational and Psychological Services, A P.l.l.c. | Psychologist | 2301 W A St, Suite C, Moscow, ID 83843-4042 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164723 | Krystal Anne Wood | Psychologist | 605 E Holly St Apt 206, Boise, ID 83712-7882 | 2020-04-27 |
| 1457993230 | Morgan Mental Health Group LLC | Psychologist | 4600 W Quarterhorse Ln, Meridian, ID 83642-5438 | 2019-10-12 |
| 1346890175 | Robert D Rieske | Psychologist | 921 S 8th Ave Stop 8112, Pocatello, ID 83209-8112 | 2019-09-13 |
| 1366953788 | Timothy L Bowers | Psychologist | 999 S Clear Lake Pl, Eagle, ID 83616-6179 | 2017-10-12 |
| 1528595329 | Richard D Craig | Psychologist | 2178 W Windchime Dr, Meridian, ID 83646-3535 | 2017-05-11 |
| 1467994616 | Heather Eskridge Hoyt Phd LLC | Psychologist | 671 E Riverpark Lane Ste 220, Boise, ID 83706-6559 | 2016-11-04 |
| 1144771338 | Heather E Hoyt | Psychologist | 671 E Riverpark Ln, Suite 220, Boise, ID 83706-6559 | 2016-10-22 |
| 1164876785 | Rebecca Grace | Psychologist | 200 River St East, Ketchum, ID 83340 | 2016-04-20 |
| 1407276850 | Kyla Mcburney-rebol | Psychologist | 550 W. Sunnyside, Suite 1, Idaho Falls, ID 83402 | 2014-04-24 |
| 1902146186 | Joann Sorento | Psychologist | 323 Lewis St., Ketchum, ID 83340 | 2013-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.