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

Kenneth Raven, PHD

Individual provider Clinical Psychologist · NPI 1003955311

Kenneth Raven, PHD is a Clinical Psychologist in Thousand Oaks, California. Qualified in 1979, 47 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
47
Licensed in
CA
In the registry since
2007
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

25 W Rolling Oaks Dr Ste #107
Thousand Oaks, CA 91361-1003
Phone: (805) 497-7001
Fax: (805) 498-8076
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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 PSY6491 (CA)

Record details

NPI number1003955311
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 5, 2007
Last updated in NPPESAugust 25, 2015
Mailing address25 W. Rolling Oaks Dr., Suite #107, Thousand Oaks, CA 91361-1003

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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