Kathleen Marie Kotnik, M.ED.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

NY1006636 Issued in OH

Practice address

2155 Miramar Blvd
University Heights, OH 44118-3301

Phone

(216) 320-5031

NPI assigned

Apr 30, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Kathleen Marie Brennan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1023428000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 MIRAMAR BLVD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441183301",
            "telephone_number": "216-320-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 MIRAMAR BLVD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441183301",
            "telephone_number": "216-320-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTNIK",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "NY1006636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BRENNAN",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Marie Jones
• Sandra Kaplan
• Marcy Kaufman, RN
• Len Kolencik, PHARMD
• Chelsea Kornmehl, DMD
• Mary Catherine Lauer, DDS
• Noah Leavitt, SWT
• Margaret Legenza, MSN, APRN, FNP-C
• Shamara Lynn Leonard
• Lets Talk Therapy LLC

• School Psychologist in University Heights, OH
• Providers in University Heights, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.