Active NPI
William Scott Kalush, PSYD
- Clinical Psychologist
- Cincinnati, OH
National Provider Identifier
1700199114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6675
- Practice address
- 7105 Hamilton Ave
Cincinnati, OH 45231-5218 - Phone
- (513) 522-0777
- Fax
- (513) 522-4577
- NPI assigned
- Jul 15, 2010
- Last updated
- Dec 10, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6675 | OH | Primary |
Addresses
Primary practice location
7105 Hamilton Ave
Cincinnati, OH 45231-5218
Mailing address
PO Box 634927
Cincinnati, OH 45263-4927
Phone (513) 891-1006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3088877 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6675 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1700199114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634927",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452634927",
"telephone_number": "513-891-1006",
"fax_number": "513-793-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7105 HAMILTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452315218",
"telephone_number": "513-522-0777",
"fax_number": "513-522-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALUSH",
"first_name": "WILLIAM",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-15",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3088877",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.