Individual provider Active NPI

Kathleen M Finnegan, PHD

  • Clinical Psychologist
  • Beachwood, OH
National Provider Identifier
1598850661
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5020 Issued in OH
Practice address
3619 Park East Dr
Suite 316
Beachwood, OH 44122-4330
Phone
(216) 591-0500
Fax
(216) 591-0550
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5020 OH Primary

Addresses

Primary practice location

3619 Park East Dr
Suite 316
Beachwood, OH 44122-4330

Mailing address

3872 E Harbor Light Landing Dr
Suite 316
Port Clinton, OH 43452-3877
Phone (419) 734-3333

Other identifiers 4

IdentifierTypeStateIssuer
000000137844OtherOHANTHEM
0182369MedicaidOH
294505000OtherOHMAGELLAN
620003454OtherOHRAILROAD MEDICARE

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
I20120327000762 OH Practitioner - Clinical Psychologist 8022278191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Transitions, IncGroup PAC ID 6305748187, 3 clinicians

Practice addresses (Care Compare)

3872 E Harbor Light Landing Dr
Port Clinton, OH 43452-3877
Phone (419) 734-3333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5020OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Transitions, Inc Clinical CurrentSince Oct 17, 1995 Accepting new patients

Locations

3872 E Harbor Light Landing Dr
Port Clinton, OH 43452
Phone (419) 734-3333

3872 E Harbor Light Landing Dr
Ste 316
Port Clinton, OH 43452

3850 E Harbor Light Landing Dr
Port Clinton, OH 43452
Phone (419) 734-3333

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1598850661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 E HARBOR LIGHT LANDING DR",
            "address_2": "SUITE 316",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434523877",
            "telephone_number": "419-734-3333",
            "fax_number": "877-734-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR",
            "address_2": "SUITE 316",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224330",
            "telephone_number": "216-591-0500",
            "fax_number": "216-591-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNEGAN",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000137844",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0182369",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "294505000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "620003454",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.