KEVAN MCCUTCHEON (PH.D.) – Clinical Psychologist, NPI 1023020617

KEVAN MCCUTCHEON (PH.D.) is a healthcare provider. based in Brecksville, Ohio. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. 4428 (OH). The NPI Number for KEVAN MCCUTCHEON (PH.D.) is 1023020617

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
KEVAN MCCUTCHEON (PH.D.)
NPI
1023020617
Phone
(440) 526-3030
Address
10000 BRECKSVILLE RD
Enumeration Date
12 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3309291326
Graduation Year
1979 (47 years ago)
PAC ID
8729418009
Group Practice PAC ID
7012815178
Professional Enrollment ID
I20200429001380
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KEVAN MCCUTCHEON (PH.D.)

  • 10000, Brecksville Road, Brecksville, Cuyahoga County, Ohio, 44141, United States

    BRECKSVILLE, OH 441413204

    Phone: (440) 526-3030

    Type: Location

  • 7072, Victoria Circle, Hudson, Summit County, Ohio, 44236, United States

    HUDSON, OH 442363103

    Phone: (330) 650-1943

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200429001380IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012815178View full group profile
NameSpecialtyState
-OH

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Frequently asked questions

What number should I use to identify KEVAN MCCUTCHEON (PH.D.) for billing?
Administrative and clinical systems typically use NPI 1023020617 for KEVAN MCCUTCHEON (PH.D.).
Quick check: is KEVAN MCCUTCHEON (PH.D.) active?
Public NPPES data shows KEVAN MCCUTCHEON (PH.D.) with an active NPI status right now.
What services align with KEVAN MCCUTCHEON (PH.D.)'s listing?
KEVAN MCCUTCHEON (PH.D.)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEVAN MCCUTCHEON (PH.D.)?
KEVAN MCCUTCHEON (PH.D.) is associated with Brecksville, Ohio in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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