Active NPI
Kathryn Cline, PSYD
- Clinical Psychologist
- Columbus, OH
National Provider Identifier
1194116202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4509
- Practice address
- 420 N James Rd
Columbus, OH 43219-1834 - Phone
- (614) 257-5200
- NPI assigned
- Feb 11, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4509 | AZ | Primary |
Addresses
Primary practice location
420 N James Rd
Columbus, OH 43219-1834
Mailing address
73 W 5TH Ave
Columbus, OH 43201-3218
Phone (217) 962-1909
Other practice location 1
Cmr 411 Box 5787
Apo, AE 09112-0058
Phone 015144956158
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 |
|---|---|---|---|
| 4509 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1194116202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 W 5TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432013218",
"telephone_number": "217-962-1909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N JAMES RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432191834",
"telephone_number": "614-257-5200"
}
],
"practiceLocations": [
{
"address_1": "Cmr 411 Box 5787",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "091120058",
"country_code": "US",
"telephone_number": "015144956158",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "CLINE",
"first_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-11",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.