KAITLYN MCCARTHY – Psychologist, NPI 1043555329

KAITLYN MCCARTHY is a healthcare provider. based in Miamisburg, Ohio. specializing in Psychologist. They hold a License No. 7562 (OH). The NPI Number for KAITLYN MCCARTHY is 1043555329

Main info

Female
Sole Proprietor
11 Years Of Experience
Name
KAITLYN MCCARTHY
NPI
1043555329
Phone
Not provided
Address
1964 EVANGELINE DR
Enumeration Date
28 November 2012
Last Update Date
18 October 2018

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
2162765628
Graduation Year
2015 (11 years ago)
PAC ID
3779837794
Group Practice PAC ID
4789019613
Professional Enrollment ID
I20181109002853
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for KAITLYN MCCARTHY

  • 1964 EVANGELINE DR

    MIAMISBURG, OH 453425461

    Phone:

    Type: Mailing

  • 151 ORCHARDVIEW RD

    SEVEN HILLS, OH 441315836

    Phone: (855) 437-6779

    Fax: (855) 437-6395

    Type: Location

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: 2018-11-09

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
I20181109002853IClinical 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 45342)

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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: 4789019613View full group profile

Reviews

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Frequently asked questions

Where can patients find KAITLYN MCCARTHY's NPI?
You can confirm KAITLYN MCCARTHY with NPI 1043555329; it appears in the national provider directory.
Is KAITLYN MCCARTHY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KAITLYN MCCARTHY list a primary specialty?
If you are matching referrals, note Psychologist for KAITLYN MCCARTHY. Clinical services aligned with this taxonomy classification.
Where is KAITLYN MCCARTHY's primary listing?
We display Miamisburg, Ohio because that is what the record indicates for KAITLYN MCCARTHY.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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