Individual provider Active NPI

Rachel Marie Hickin, PHD

  • Clinical Psychologist
  • Kent, OH
National Provider Identifier
1104481498
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P.08763 Issued in OH
Practice address
190 Currie Hall Pkwy
Kent, OH 44240-4312
Phone
(330) 673-5812
NPI assigned
May 2, 2019
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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 P.08763 OH Primary

Addresses

Primary practice location

190 Currie Hall Pkwy
Kent, OH 44240-4312

Mailing address

190 Currie Hall Pkwy
Kent, OH 44240-4312
Phone (330) 673-5812

Other names 1

  • Rachel Marie Hardy Former name

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
I20250417000869 OH Practitioner - Clinical Psychologist 6507381035 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Robinson & Associates LLC CurrentSince Mar 21, 2025 Accepting new patients

Locations

190 Currie Hall Pkwy
Kent, OH 44240
Phone (330) 673-5812

Organizations & group practices 1

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1104481498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CURRIE HALL PKWY",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404312",
            "telephone_number": "330-673-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CURRIE HALL PKWY",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404312",
            "telephone_number": "330-673-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKIN",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.08763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HARDY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.