DR. KENNETH JEROME GRAVES PH.D.
NPI 1275689416
Psychologist - Clinical in Dallas, TX
NPI Status: Active since January 27, 2007
Contact Information
1005 W JEFFERSON BLVD
SUITE 205
DALLAS, TX
ZIP 75208
Phone: (214) 916-4025
- Individual
- Male
- Psychologist
- Clinical
About KENNETH GRAVES
This page provides the complete NPI Profile along with additional information for Kenneth Graves, a provider established in Dallas, Texas with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1275689416 assigned on January 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 30557 (TX). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1275689416
- Provider Name
- DR. KENNETH JEROME GRAVES PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1005 W JEFFERSON BLVD SUITE 205 DALLAS, TX 75208
- Location Phone
- (214) 916-4025
- Mailing Address
- 3551 ROGER BROOKE DR SAN ANTONIO, TX 78234
- Mailing Phone
- (210) 916-6299
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-27-2007
- Last Update Date
- 04-16-2018
- Code Navigator
A clinical psychologist like Kenneth Graves assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 30557
- License State
- TX
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | 30557 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0962334-01 | MEDICAID (05) | TX |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 6 | 8 | 9 | 4 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 12 | 8 | 18 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 2 + 8 + 1 + 8 + 4 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1275689416 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013011501 | DR. V.J. LAIR PSY.D. Individual | Psychologist (Forensic) | 1005 W JEFFERSON BLVD SUITE 205 DALLAS, TX 75208 (214) 941-1650 |
| 1003911215 | FRANCES BETH STOLARSKI LCSW Individual | Social Worker (Clinical) | 1005 W JEFFERSON BLVD SUITE 205 DALLAS, TX 75208 (214) 941-1650 |
| 1548339641 | DIANNE ROBINSON Organization | Counselor (Mental Health) | 1005 W JEFFERSON BLVD SUITE 203 DALLAS, TX 75208 (214) 942-5545 |
| 1093881138 | DR. JAMES ROBERT WOMACK PH.D. Individual | Psychologist (Forensic) | 1005 W JEFFERSON BLVD SUITE 205 DALLAS, TX 75208 (214) 941-1650 |
| 1578630364 | DR. EMILY ALINE FALLIS PH.D. Individual | Psychologist (Forensic) | 1005 W JEFFERSON BLVD DALLAS, TX 75208 (214) 941-1650 |
| 1326219320 | DR. LEILANI KYOKO OANA PH.D. Individual | Psychologist (Clinical) | 1005 W JEFFERSON BLVD SUITE 205 DALLAS, TX 75208 (214) 941-1650 |
| 1780818096 | DR. MARISOL VARGAS D.D.S. Individual | Dentist | 1005 W JEFFERSON BLVD SUITE 401 DALLAS, TX 75208 (214) 941-0039 |
| 1851492508 | DR. PHYLLIS LEE JONES PH.D. Individual | Psychologist (Clinical) | 1005 W JEFFERSON BLVD STE. 205 DALLAS, TX 75208 (214) 941-1650 |
| 1841540424 | MR. JOSE G TORRES L.C.D.C Individual | Counselor (Addiction (Substance Use Disorder)) | 1005 W JEFFERSON BLVD SUIT 205 DALLAS, TX 75208 (972) 850-8069 |
| 1447364260 | JAMES DOUGLAS CALVERT PHD Individual | Psychologist | 1005 W JEFFERSON BLVD SUITE 205 DALLAS, TX 75208 (214) 941-1650 |
| 1861848822 | KATHLEEN C. HARDIN SLP Individual | Speech-Language Pathologist | 1005 W JEFFERSON BLVD STE 300 DALLAS, TX 75208 (214) 646-1570 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275689416, enumerated in the NPI registry as an "individual" on January 27, 2007
The provider is located at 1005 W Jefferson Blvd Suite 205 Dallas, Tx 75208 and the phone number is (214) 916-4025
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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