DR. KATHLEEN RYAN (PH. D.) – Clinical Psychologist, NPI 1699716969

DR. KATHLEEN RYAN (PH. D.) is a healthcare provider. based in Westerville, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH. D.. They hold a License No. 4112 (OH). The NPI Number for DR. KATHLEEN RYAN (PH. D.) is 1699716969

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHLEEN RYAN (PH. D.)
NPI
1699716969
Phone
(614) 895-1555
Address
3 W MAIN ST STE 202
Enumeration Date
9 June 2006
Last Update Date
13 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6148951555
Graduation Year
1987 (39 years ago)
PAC ID
1355300435
Professional Enrollment ID
I20041005000607
Address ID
OH430812195WE3XXXXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. KATHLEEN RYAN (PH. D.)

  • 3 W MAIN ST STE 202

    WESTERVILLE, OH 430812195

    Phone: (614) 895-1555

    Fax: (844) 441-8763

    Mailing address matches the actual address.

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: 2004-10-05

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
I20041005000607IClinical 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

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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 43081)

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Reviews

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Frequently asked questions

Does DR. KATHLEEN RYAN (PH. D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KATHLEEN RYAN (PH. D.) uses 1699716969.
Can I rely on DR. KATHLEEN RYAN (PH. D.) being an active provider?
As of the registry snapshot, DR. KATHLEEN RYAN (PH. D.) is marked active.
What healthcare role does DR. KATHLEEN RYAN (PH. D.) hold?
Scheduling teams often label DR. KATHLEEN RYAN (PH. D.) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KATHLEEN RYAN (PH. D.)?
DR. KATHLEEN RYAN (PH. D.)'s geographic hint is Westerville, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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