Dr Kenneth Roy Parker, PHD - Medicare Psychologist in Berkeley, CA

Dr Kenneth Roy Parker, PHD is a medicare enrolled "Psychologist - Clinical" provider in Berkeley, California. His current practice location is 919 The Alameda, Berkeley, California. You can reach out to his office (for appointments etc.) via phone at (510) 559-9560.

Dr Kenneth Roy Parker is licensed to practice in California (license number PSY 11829) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104089192.

Contact Information

Dr Kenneth Roy Parker, PHD
919 The Alameda,
Berkeley, CA 94707
(510) 559-9560
(510) 778-8673

Map and Direction




Healthcare Provider's Profile

Full NameDr Kenneth Roy Parker
GenderMale
SpecialityPsychologist - Clinical
Location919 The Alameda, Berkeley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104089192
  • Provider Enumeration Date: 07/09/2008
  • Last Update Date: 10/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2365575214
  • Enrollment ID: I20100729000691

Medical Identifiers

Medical identifiers for Dr Kenneth Roy Parker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104089192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY11829 (California)Secondary
103TC0700XPsychologist - Clinical PSY 11829 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Roy Parker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth Roy Parker, PHD
919 The Alameda,
Berkeley, CA 94707-2301

Ph: (510) 559-9560
Dr Kenneth Roy Parker, PHD
919 The Alameda,
Berkeley, CA 94707

Ph: (510) 559-9560

Reviews and Comments


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