Organization Active NPI

Nina Kucyk, PSYD

  • Community/Behavioral Health Agency
  • Canton, OH
National Provider Identifier
1609677236
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NINA KUCYK, PSYD
Practice address
2401 Whipple Ave NW
Canton, OH 44708-1513
Phone
(330) 620-8519
Fax
(330) 956-5682
NPI assigned
Mar 20, 2025
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Dr. Nina Marie Kucyk, PSYD, PCC-SNPI 1639104128
Title
Owner
Phone
(330) 620-8519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2401 Whipple Ave NW
Canton, OH 44708-1513

Mailing address

2401 Whipple Ave NW
Canton, OH 44708-1513
Phone (330) 620-8519

Other names 1

  • Nina Kucyk, PsyD Former legal business name

National Provider Directory

National Provider Directory

Locations

2401 Whipple Ave NW
Canton, OH 44708
Phone (330) 479-9670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1609677236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081513",
            "telephone_number": "330-620-8519",
            "fax_number": "330-956-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081513",
            "telephone_number": "330-620-8519",
            "fax_number": "330-956-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA KUCYK, PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "KUCYK",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-620-8519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, PCC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nina Kucyk, PsyD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.