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Dr. Kenneth J Kohutek , PhD

Physician • Vernon, TX

Active NPI 1104946938 Individual Practitioner Male Practitioner
Practice location in NPPES

4730 College Dr, 6515 Kemp Boulevard
Vernon, TX 763844009

Call 9405529901 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4730 College Dr
6515 Kemp Boulevard

Vernon, TX 763844009

Telephone 9405529901
Organization at the Same NPPES Address or Phone
Health And Human Services Commission Facility NPI 1245344472

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Psychiatric Hospital Primary Specialty

NUCC Taxonomy Code: 283Q00000X

License # reported to NPPES TX 22814

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Ayodele Abraham , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1437378999

Doctor of Medicine (M.D.)

Dr. James Boger , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1013113141

Doctor of Medicine (M.D.)

Jeffrey Dobbins , APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1871997114

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

NPI 1467853945

Doctor of Dental Surgery

Dr. Kumud Joshi , MD

Psychiatry & Neurology - Psychiatry

NPI 1760674360

Doctor of Medicine (M.D.)

Rosa Martinez , FAMILY NURSE PRACTI

Nurse Practitioner - Family

NPI 1790931962

FAMILYNURSEPRACTI

Career & Practice History

NPI enumerated March 29, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1104946938
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4730 College Dr, 6515 Kemp Boulevard

Vernon, TX 763844009

Phone: 9405529901

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.