Individual provider Active NPI

Kathleen E Kern, PH.D

  • Clinical Child & Adolescent Psychologist
  • Rocky River, OH
National Provider Identifier
1306085451
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
6085 Issued in OH
Practice address
19438 Battersea Blvd
Rocky River, OH 44116-1711
Phone
(440) 465-6913
NPI assigned
Feb 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 6085 OH
Clinical Child & Adolescent Psychologist 103TC2200X 6085 OH Primary

Addresses

Primary practice location

19438 Battersea Blvd
Rocky River, OH 44116-1711

Mailing address

19438 Battersea Blvd
Rocky River, OH 44116-1711
Phone (440) 465-6913

Other names 1

  • Kathleen E Hogan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6085OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lorain County Health & Dentistry CurrentSince Feb 11, 2020 Accepting new patients
Lorain County Health & Dentistry CurrentSince Feb 11, 2020 Accepting new patients
Lorain County Health & Dentistry Current Accepting new patients

Locations

105 Louden Ct
Elyria, OH 44035

3745 Grove Ave
Lorain, OH 44055
Phone (440) 240-1901

1205 Broadway
Lorain, OH 44052

260 S Main St
Oberlin, OH 44074

Interoperability endpoints

  • Direct secure messaging: kathleen.kern.p11@direct.loraincountyhealth.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1306085451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19438 BATTERSEA BLVD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161711",
            "telephone_number": "440-465-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19438 BATTERSEA BLVD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161711",
            "telephone_number": "440-465-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OH",
            "license": "6085",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "6085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HOGAN",
            "middle_name": "E",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.