Active NPI
Dennis Kavran, PSY.S
- School Psychologist
- Independence, OH
National Provider Identifier
1164778650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SP577
- Practice address
- 5000 Rockside Rd
Suite 310
Independence, OH 44131-6823 - Phone
- (216) 901-2300
- NPI assigned
- Aug 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SP577 | OH | Primary |
Addresses
Primary practice location
5000 Rockside Rd
Suite 310
Independence, OH 44131-6823
Mailing address
18045 Birch Hill Dr
Chagrin Falls, OH 44023-5825
Phone (440) 543-7819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP577 | OH | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Attention Center | Past | Accepting new patients | |
| The Attention Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Independence, OH
- NPI 1144506783
-
- Professional Counselor
- Independence, OH
- NPI 1417296609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1164778650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18045 BIRCH HILL DR",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440235825",
"telephone_number": "440-543-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 ROCKSIDE RD",
"address_2": "SUITE 310",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441316823",
"telephone_number": "216-901-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVRAN",
"first_name": "DENNIS",
"credential": "PSY.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-02",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "SP577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.