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

Dr. Kenneth Gregory Small, PHD

Individual provider Clinical Psychologist · NPI 1689676413

Dr. Kenneth Gregory Small, PHD is a Clinical Psychologist in Mechanicsburg, Pennsylvania. Graduated from West Virginia University School of Medicine in 1985, 41 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
41
Trained at
West Virginia University School of Medicine
Licensed in
PA
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

410 E Main St
Mechanicsburg, PA 17055-6515
Phone: (717) 795-8588
Fax: (717) 795-0541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4349 Carlisle Pike, Camp Hill, PA 17011-4252 — (717) 775-3380

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS-004858-L (PA)

Record details

NPI number1689676413
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023
Mailing address410 E Main St, Mechanicsburg, PA 17055-6515

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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