KELLY C BYARS (PSY.D) – Clinical Child & Adolescent Psychologist, NPI 1811946387

KELLY C BYARS (PSY.D) is a healthcare provider. based in Cincinnati, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D. They hold a License No. 5652 (OH). The NPI Number for KELLY C BYARS (PSY.D) is 1811946387

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
KELLY C BYARS (PSY.D)
NPI
1811946387
Phone
(513) 636-4336
Address
3333 BURNET AVE
Enumeration Date
10 May 2006
Last Update Date
14 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5136364200
Graduation Year
1998 (28 years ago)
PAC ID
2264445386
Group Practice PAC ID
8426955733
Professional Enrollment ID
I20060713000057
Address ID
OH452293026CI3333XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for KELLY C BYARS (PSY.D)

  • Cincinnati Children’s Hospital Medical Center, 3333, Burnet Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45229-3026, United States

    ML 3015

    CINCINNATI, OH 452293026

    Phone: (513) 636-4336

    Fax: (513) 636-7756

    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: 2006-07-13

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
I20060713000057IClinical 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 45229)

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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: 8426955733View full group profile

Reviews

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Frequently asked questions

What federal number belongs to KELLY C BYARS (PSY.D)?
The federal identifier for KELLY C BYARS (PSY.D) is NPI 1811946387.
Is KELLY C BYARS (PSY.D)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KELLY C BYARS (PSY.D)?
The page reflects Clinical Child & Adolescent Psychologist for KELLY C BYARS (PSY.D). Clinical services aligned with this taxonomy classification.
Where does public data place KELLY C BYARS (PSY.D)?
The snapshot lists Cincinnati, Ohio for KELLY C BYARS (PSY.D); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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