Individual provider Active NPI

Kathryn Fleming Turk, PH.D.

  • Clinical Psychologist
  • Brecksville, OH
National Provider Identifier
1063522316
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
831 Issued in OH
Practice address
7650 Chippewa Rd Ste 300
Brecksville, OH 44141-2319
Phone
(440) 838-4151
Fax
(440) 526-0425
NPI assigned
Aug 30, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 831 OH Primary

Addresses

Primary practice location

7650 Chippewa Rd Ste 300
Brecksville, OH 44141-2319

Mailing address

7448 Old Quarry LN
Brecksville, OH 44141-1552
Phone (440) 838-4151

Other identifiers 2

IdentifierTypeStateIssuer
831OtherOHPSYCHOLOGIST LICENSE
0855507MedicaidND

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
I20050310000025 OH Practitioner - Clinical Psychologist 3375597511 Practice locations: Brecksville, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
831OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063522316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7448 OLD QUARRY LN",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411552",
            "telephone_number": "440-838-4151",
            "fax_number": "440-526-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 CHIPPEWA RD STE 300",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412319",
            "telephone_number": "440-838-4151",
            "fax_number": "440-526-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURK",
        "first_name": "KATHRYN",
        "middle_name": "FLEMING",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "831",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855507",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

Verify at the official NPI Registry.