Individual provider Active NPI

Kathryn C. Maccluskie, PHD.

  • Counseling Psychologist
  • Elyria, OH
National Provider Identifier
1346325552
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
145 Columbia Ave
Elyria, OH 44035-6001
Phone
(440) 371-3423
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X OH Primary

Addresses

Primary practice location

145 Columbia Ave
Elyria, OH 44035-6001

Mailing address

145 Columbia Ave
Elyria, OH 44035-6001
Phone (440) 371-3423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20250723002251 OH Practitioner - Clinical Psychologist 1850807082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Wellness Psychological Services LLC 2 clinicians

Practice addresses (Care Compare)

45952 N Ridge Rd
Amherst, OH 44001-1751
Phone (440) 773-3032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Wellness Psychological Services, LLC CurrentSince Jun 12, 2025 Accepting new patients
Kathies Consulting Counseling CurrentSince Nov 24, 2025 Accepting new patients
Marvald Counseling & Associates, Inc. Past Accepting new patients

Locations

45952 N Ridge Rd
Amherst, OH 44001
Phone (440) 773-3032

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1346325552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 COLUMBIA AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356001",
            "telephone_number": "440-371-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 COLUMBIA AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356001",
            "telephone_number": "440-371-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCLUSKIE",
        "first_name": "KATHRYN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.