Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth A Larsen, DMIN, PHD, ABMP

Individual provider Clinical Psychologist · NPI 1053343707

Dr. Kenneth A Larsen, DMIN, PHD, ABMP is a Clinical Psychologist in Bozeman, Montana. Qualified in 1979, 47 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
47
Licensed in
MA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

34 N Eldorado Ave
Bozeman, MT 59718-1229
Phone: (617) 413-2328
Fax: (617) 334-7845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Victory Rd Ste 3, Quincy, MA 02171-3132 — (617) 413-2328

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY2944MA (MA)

Record details

NPI number1053343707
Entity typeIndividual (Type 1)
GenderMale
Credentials DMIN , PHD , ABMP
Sole proprietorYes
NPI enumeratedJuly 6, 2006
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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