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

Dr. Kenneth Roy Parker, PHD

Individual provider Psychologist · NPI 1104089192

Dr. Kenneth Roy Parker, PHD is a Clinical Psychologist in Berkeley, California. Qualified in 1986, 40 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
40
Licensed in
CA
In the registry since
2008
Specialties on file
2
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

919 The Alameda
Berkeley, CA 94707
Phone: (510) 559-9560
Fax: (510) 778-8673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY 11829 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY11829 (CA)

Record details

NPI number1104089192
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 9, 2008
Last updated in NPPESOctober 12, 2012
Mailing address919 The Alameda, Berkeley, CA 94707-2301

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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