Organization Active NPI

Kenneth a. de Luca,PH.D. & Associates, Inc.

  • Psychologist
  • North Ridgeville, OH
National Provider Identifier
1821018698
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2076 Issued in OH
Legal business name
KENNETH A. DE LUCA,PH.D. & ASSOCIATES, INC.
Practice address
6401 Jaycox Rd
North Ridgeville, OH 44039-1611
Phone
(440) 327-1800
Fax
(440) 327-1533
NPI assigned
Jul 21, 2006
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Dr. Catherine M Brandon, PSYDNPI 1063690006
Title
Owner & President
Phone
(440) 327-1800

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
Psychologist 103T00000X 2076 OH Primary

Addresses

Primary practice location

6401 Jaycox Rd
North Ridgeville, OH 44039-1611

Mailing address

6401 Jaycox Rd
North Ridgeville, OH 44039-1611
Phone (440) 327-1800

Other practice location 1

2001 Crocker Rd Ste 600
Westlake, OH 44145-6972
Phone (440) 327-1800

Other practice location 2

5425 Detroit Rd Ste 6
Sheffield Village, OH 44054-3031
Phone (440) 327-1800

Other practice location 3

20525 Center Ridge Rd Ste 134
Rocky River, OH 44116-3424
Phone (440) 327-1800

Other practice location 4

2525 Columbus Ave
Sandusky, OH 44870-5500
Phone (440) 327-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040915000977 OH Part B Supplier - Clinic/Group Practice 2860469160 Receives reassigned benefits from 26 practitioners
Practice locations: North Ridgeville, OH; Sheffield Village, OH; Westlake, OH

National Provider Directory

National Provider Directory

Locations

35888 Center Ridge Rd
Ste 5
North Ridgeville, OH 44039
Phone (440) 327-1810

6401 Jaycox Rd
North Ridgeville, OH 44039
Phone (440) 452-1292

20525 Center Ridge Rd
Ste 604
Rocky River, OH 44116
Phone (888) 648-9355

2525 Columbus Ave
Sandusky, OH 44870

5329 N Abbe Rd
Ste 1
Sheffield Village, OH 44035
Phone (440) 463-8544

5425 Detroit Rd
Ste 6
Sheffield Village, OH 44054

2001 Crocker Rd
Ste 600
Westlake, OH 44145
Phone (440) 871-5100

26404 Center Ridge Rd
Bldg B
Westlake, OH 44145

37841 Euclid Ave
Ste 5
Willoughby, OH 44094
Phone (800) 686-0327

Practitioners & affiliated clinicians

Practitioners 52

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.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1821018698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 JAYCOX RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391611",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 JAYCOX RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391611",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Crocker Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441456972",
            "country_code": "US",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5425 Detroit Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Sheffield Village",
            "state": "OH",
            "postal_code": "440543031",
            "country_code": "US",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20525 Center Ridge Rd Ste 134",
            "address_purpose": "LOCATION",
            "city": "Rocky River",
            "state": "OH",
            "postal_code": "441163424",
            "country_code": "US",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448705500",
            "country_code": "US",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNETH A. DE LUCA,PH.D. & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER & PRESIDENT",
        "authorized_official_telephone_number": "440-327-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "2076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.