Active NPI
Kelly Isaacs Cloes, PSYD
- Clinical Psychologist
- Milford, OH
National Provider Identifier
1376902072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7399
- Practice address
- 228 Mill St Ste 209
Milford, OH 45150-1077 - Phone
- (513) 204-5746
- Fax
- (513) 229-3707
- NPI assigned
- Feb 23, 2016
- 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 | 7399 | OH | Primary |
Addresses
Primary practice location
228 Mill St Ste 209
Milford, OH 45150-1077
Mailing address
228 Mill St Ste 209
Milford, OH 45150-1077
Phone (513) 204-5746
Other practice location 1
7826 Cooper Rd
Cincinnati, OH 45242-7619
Phone (513) 984-1000 ext. 24
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 25, 2016 through Feb 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7399 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Affinity Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Cincinnati, OH
- NPI 1487866232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1376902072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 MILL ST STE 209",
"city": "MILFORD",
"state": "OH",
"postal_code": "451501077",
"telephone_number": "513-204-5746",
"fax_number": "513-229-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 MILL ST STE 209",
"city": "MILFORD",
"state": "OH",
"postal_code": "451501077",
"telephone_number": "513-204-5746",
"fax_number": "513-229-3707"
}
],
"practiceLocations": [
{
"address_1": "7826 Cooper Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452427619",
"country_code": "US",
"telephone_number": "513-984-1000 x24",
"fax_number": "513-985-2182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISAACS CLOES",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "7399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.