Active NPI
Kathleen Gayle Kunkle, PH.D.
- Psychologist
- Medina, OH
National Provider Identifier
1699720649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5197
- Practice address
- 3591 Reserve Commons Dr
Suite 301
Medina, OH 44256-5334 - Phone
- (330) 764-7916
- Fax
- (330) 723-6399
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5197 | OH | Primary |
Addresses
Primary practice location
3591 Reserve Commons Dr
Suite 301
Medina, OH 44256-5334
Mailing address
6978 Renie Rd
Bellville, OH 44813-8908
Phone (419) 886-4565
Other names 1
- Kathleen Gayle Isgro
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Consultants Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/
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.
-
- Clinical Social Worker
- Medina, OH
- NPI 1205882941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699720649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6978 RENIE RD",
"city": "BELLVILLE",
"state": "OH",
"postal_code": "448138908",
"telephone_number": "419-886-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3591 RESERVE COMMONS DR",
"address_2": "SUITE 301",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565334",
"telephone_number": "330-764-7916",
"fax_number": "330-723-6399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNKLE",
"first_name": "KATHLEEN",
"middle_name": "GAYLE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "ISGRO",
"middle_name": "GAYLE",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.