Ryan D Kalakewich, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1254 Issued in WV

Practice address

2121 Eoff St
Wheeling, WV 26003-3805

Phone

(303) 234-3570

NPI assigned

Jun 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northwood Health Systems IncGroup PAC ID 4880600048, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Northwood Health Systems Inc

  • Community/Behavioral Health Agency
  • Wheeling, WV
  • NPI 1447473475
  Medicare reassignment Care Compare group NPD
• Westbrook Health Services, Inc.

  • Community/Behavioral Health Agency
  • Parkersburg, WV
  • NPI 1952357568
  Medicare reassignment
• Northwood Health Systems Inc

  • Community/Behavioral Health Agency
  • Wheeling, WV
  • NPI 1649277559
  NPD (past)

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1629693478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MINSINGER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152112233",
            "telephone_number": "724-331-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EOFF ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033805",
            "telephone_number": "303-234-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAKEWICH",
        "first_name": "RYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Justice-Conley, MSW LCSW
• Denise Kabala
• Amber Kacsmar, PHARMD
• Constantine Kademenos, DDS
• Loren R Kaiser, MD
• Leann Kalcum
• Cameron Kalinski, FNP-BC
• Ahmed Hasan Kalla, M.D.
• Susan Elizabeth Kane
• Lauren Kaniecki, MA

• Clinical Psychologist in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.