Individual provider Active NPI

Kaitlyn McCarthy

  • Psychologist
  • Seven Hills, OH
National Provider Identifier
1043555329
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7562 Issued in OH
Practice address
151 Orchardview Rd
Seven Hills, OH 44131-5836
Phone
(855) 437-6779
Fax
(855) 437-6395
NPI assigned
Nov 28, 2012
Last updated
Oct 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7562 OH Primary

Addresses

Primary practice location

151 Orchardview Rd
Seven Hills, OH 44131-5836

Mailing address

1964 Evangeline Dr
Miamisburg, OH 45342-5461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181109002853 OH Practitioner - Clinical Psychologist 3779837794 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7562OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Jul 1, 2021 Accepting new patients
360Team Counseling LLC Psychologist CurrentSince May 4, 2021 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

6802 W Snowville Rd
Ste B
Brecksville, OH 44141
Phone (440) 260-8528

6500 Rockside Rd
Ste 385
Independence, OH 44131

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1043555329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 EVANGELINE DR",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453425461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 ORCHARDVIEW RD",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441315836",
            "telephone_number": "855-437-6779",
            "fax_number": "855-437-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "KAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "7562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Hills, OH

Sources for this page

Verify at the official NPI Registry.