Individual provider Active NPI

Kayleigh Hunnicutt, PH.D.

  • Clinical Psychologist
  • Gahanna, OH
National Provider Identifier
1669618625
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P.08367 Issued in OH
Practice address
4625 Morse Rd Ste 200
Gahanna, OH 43230-8355
Phone
(614) 383-8381
Fax
(855) 259-2615
NPI assigned
Dec 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P.08367 OH Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

4625 Morse Rd Ste 200
Gahanna, OH 43230-8355

Mailing address

264 S Pacific Ave
Ventura, CA 93001-3474
Phone (419) 870-0560

Other identifiers 1

IdentifierTypeStateIssuer
174400000XOtherCAOTHER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P.08367OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Women'S Wellness, LLC Clinical PastSince Sep 23, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1669618625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 S PACIFIC AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013474",
            "telephone_number": "419-870-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 MORSE RD STE 200",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308355",
            "telephone_number": "614-383-8381",
            "fax_number": "855-259-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNNICUTT",
        "first_name": "KAYLEIGH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.08367",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "174400000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.