Kevin R. Schmucker, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5273 Issued in OH

Practice address

845 County House LN
Marietta, OH 45750-8015

Phone

(740) 373-2028

Fax

(740) 373-2029

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH, WV2 enrollments

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 2

Specialty

Clinical Psychologist

Education

University of Toledo College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Psychological Services LTDGroup PAC ID 4082711452, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.schmucker@somc.medicity.net

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.

• Comprehensive Psychological Services, LTD.

  • Clinical Psychologist
  • Marietta, OH
  • NPI 1831388701

  WV

  Medicare reassignment Care Compare group Authorized official
• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083

  Single Specialty

  Medicare reassignment NPD
• Comprehensive Psychological Services, LTD.

  • Clinical Psychologist
  • Marietta, OH
  • NPI 1679735450
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1851441703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 JACOBS CEMETERY RD",
            "city": "LUCASVILLE",
            "state": "OH",
            "postal_code": "456488716",
            "telephone_number": "803-724-7924",
            "fax_number": "740-820-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 COUNTY HOUSE LN",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457508015",
            "telephone_number": "740-373-2028",
            "fax_number": "740-373-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMUCKER",
        "first_name": "KEVIN",
        "middle_name": "R.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1351",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37508",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "620005432",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2055378",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chitra Sarpeshkar, RDCS, RDMS
• Jennifer Scalzo
• Kim L Schaum, FNP-BC
• Ben A Scheinfeld, M.D.
• Jade Schlicher, LPN
• Katherine Schneider
• Kevin R Schulte, DO
• Jeremy James Schwartz, DMD
• Beth Schwendeman, PT
• Emilee Ann Schwendeman

• Clinical Psychologist in Marietta, OH
• Providers in Marietta, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.