DR. SUSAN K KAHLE (PHD) – Clinical Psychologist, NPI 1366558645

DR. SUSAN K KAHLE (PHD) is a healthcare provider. based in Kettering, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY10906 (FL). The NPI Number for DR. SUSAN K KAHLE (PHD) is 1366558645

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN K KAHLE (PHD)
NPI
1366558645
Phone
(937) 901-3122
Address
7061 CORPORATE WAY
Enumeration Date
21 August 2006
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5745461900
Graduation Year
1997 (29 years ago)
PAC ID
5294782967
Group Practice PAC ID
9739504523
Professional Enrollment ID
I20050405000541
Address ID
OH452331664CI990XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. SUSAN K KAHLE (PHD)

  • 7061 CORPORATE WAY

    STE 110

    KETTERING, OH 454594244

    Phone: (937) 901-3122

    Fax: (937) 434-8590

    Type: Mailing

  • 550 N Main St Unit B

    Springboro, OH 450667520

    Phone: (937) 901-3122

    Fax: (937) 748-8206

    Type: Location

  • 550 N MAIN ST UNIT B

    SPRINGBORO, OH 450667520

    Phone: (937) 901-3122

    Fax: (937) 748-8206

    Type: Mailing

  • 21 E STATE ST

    COLUMBUS, OH 432154281

    Phone: (574) 546-1900

    Fax: (574) 546-1999

    Type: Location

  • 2600, Far Hills Avenue, Shops of Oakwood, Oakwood, Montgomery County, Ohio, 45419, United States

    SUITE 321

    OAKWOOD, OH 45419

    Phone: (937) 901-3122

    Fax: (937) 434-8590

    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: 2021-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050405000541IClinical PsychologistOHTBD
I20210310002128IClinical PsychologistFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour19913$0
View full utilization report →

Insurance plans in this area (ZIP 45459)

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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: 9739504523View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical PsychologistNY
Clinical PsychologistIN
Nurse PractitionerNC
Nurse PractitionerIN
Clinical Social WorkerKY
Nurse PractitionerOH
Clinical Social WorkerOH
Clinical Social WorkerKY
Clinical Social WorkerIL

Reviews

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Frequently asked questions

How do payers reference DR. SUSAN K KAHLE (PHD)?
For DR. SUSAN K KAHLE (PHD), use NPI 1366558645 as the unique 10-digit identifier.
Would DR. SUSAN K KAHLE (PHD) appear as active to a payer?
You can treat DR. SUSAN K KAHLE (PHD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. SUSAN K KAHLE (PHD)?
DR. SUSAN K KAHLE (PHD)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SUSAN K KAHLE (PHD)?
Directory geography for DR. SUSAN K KAHLE (PHD) centers on Kettering, Ohio.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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