MS. MYRA CHRISTENSEN KAWAGUCHI (PHD) – Clinical Psychologist, NPI 1285647834

MS. MYRA CHRISTENSEN KAWAGUCHI (PHD) is a healthcare provider. based in Amherst, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 6107 (OH). The NPI Number for MS. MYRA CHRISTENSEN KAWAGUCHI (PHD) is 1285647834

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MS. MYRA CHRISTENSEN KAWAGUCHI (PHD)
NPI
1285647834
Phone
(440) 984-4005
Address
520 CHARLES AVE
Enumeration Date
14 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4407344037
Graduation Year
1999 (27 years ago)
PAC ID
9133125842
Group Practice PAC ID
5092713529
Professional Enrollment ID
I20061019000350
Address ID
OH441262212FA22540RDXX300
Telehealth
Yes
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

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for MS. MYRA CHRISTENSEN KAWAGUCHI (PHD)

  • 520, Charles Avenue, Amherst, Lorain County, Ohio, 44001, United States

    AMHERST, OH 440012084

    Phone: (440) 984-4005

    Type: Mailing

  • 1740, Cooper Foster Park Road, Brownhelm, Vermilion, Lorain County, Ohio, 44089, United States

    LORAIN, OH 44053

    Phone: (440) 282-1383

    Fax: (440) 989-1265

    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: 2006-10-19

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
I20061019000350IClinical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour18014$0
View full utilization report →

Insurance plans in this area (ZIP 44001)

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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: 5092713529View full group profile
NameSpecialtyState
Mental Health CounselorOH
-OH
Mental Health CounselorOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical Social WorkerOH
-OH
Mental Health CounselorOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

What identifier follows MS. MYRA CHRISTENSEN KAWAGUCHI (PHD) across health systems?
The NPI 1285647834 uniquely identifies MS. MYRA CHRISTENSEN KAWAGUCHI (PHD) in U.S. healthcare data.
Does the public listing show MS. MYRA CHRISTENSEN KAWAGUCHI (PHD) as active?
MS. MYRA CHRISTENSEN KAWAGUCHI (PHD)'s NPI record reflects an active status in NPPES.
What type of care does MS. MYRA CHRISTENSEN KAWAGUCHI (PHD) provide?
MS. MYRA CHRISTENSEN KAWAGUCHI (PHD)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. MYRA CHRISTENSEN KAWAGUCHI (PHD)?
MS. MYRA CHRISTENSEN KAWAGUCHI (PHD) is associated with Amherst, Ohio in the same public data insurers reference.
Who maintains MS. MYRA CHRISTENSEN KAWAGUCHI (PHD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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