Kathy Acus-Souders, Psy.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5311 Issued in OH

Legal business name

KATHY ACUS-SOUDERS, PSY.D., LLC

Practice address

2188 Gateway Dr
Fairborn, OH 45324-6356

Phone

(937) 864-1940

Fax

(937) 864-1950

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kathy Lynn Acus-Souders, PSY.D.

Title

Clinical Psychologist

Phone

(937) 864-1940

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cecilia Jacobs, PSY.D.

  • Clinical Psychologist
  • Fairborn, OH
  • NPI 1356333678
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1215112214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 GATEWAY DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246356",
            "telephone_number": "937-864-1940",
            "fax_number": "937-864-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 GATEWAY DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246356",
            "telephone_number": "937-864-1940",
            "fax_number": "937-864-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY ACUS-SOUDERS, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "ACUS-SOUDERS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "937-864-1940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Kammer
• Alexandra Michelle Kane, M.S., BCBA
• Brianna Kapel, BCBA
• Keira Karger
• Armaghan Kashanpour, MD
• KBS Family Dental, Kerri Beedy-Storts DDS, LLC
• Jason Keating
• Richelle Keating
• Ashley Kee
• Kathy Keipper, PT

• Clinical Psychologist in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.