Kaleb W Cusack, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY1187 Issued in NV

Practice address

245 Mount Rose St
Reno, NV 89509-3355

Phone

(775) 448-6828

NPI assigned

Jul 11, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Psychology Associates LLCGroup PAC ID 6204180284, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Health Psychology Associates LLC

  • Marriage & Family Therapist
  • Reno, NV
  • NPI 1366836702

  Psychologist

  Medicare reassignment Care Compare group NPD
• G D Shoenberger, Inc.

  • Clinical Psychologist
  • Reno, NV
  • NPI 1487999579

  Single Specialty

  NPD

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1245077726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BELL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MOUNT ROSE ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093355",
            "telephone_number": "775-448-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSACK",
        "first_name": "KALEB",
        "middle_name": "W",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY1187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Curtis
• Daniel Miles Curtis, M.D.
• Sabrina Curtis, PHARMD
• Taylor Lynn Curtis
• William J Curtis, M.D., D.M.D.
• Heather Dawn Cusick
• Custom Carbon Composite Creations
• Custom Physical Therapy Limited Partnership
• Custom Physical Therapy Limited Partnership
• Custom Physical Therapy Limited Partnership

• Psychologist in Reno, NV
• Providers in Reno, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.