KENNETH A. DE LUCA,PH.D. & ASSOCIATES, INC. – Psychologist, NPI 1821018698
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KENNETH A. DE LUCA,PH.D. & ASSOCIATES, INC.
5425 Detroit Rd Ste 6
Sheffield Village, OH 440543031
Phone: (440) 327-1800
Fax: (440) 327-1533
Type: Location
20525 Center Ridge Rd Ste 134
Rocky River, OH 441163424
Phone: (440) 327-1800
Fax: (440) 327-1533
Type: Location
2001 Crocker Rd Ste 600
Westlake, OH 441456972
Phone: (440) 327-1800
Fax: (440) 327-1533
Type: Location
2525 Columbus Ave
Sandusky, OH 448705500
Phone: (440) 327-1800
Fax: (440) 327-1533
Type: Location
35888, Center Ridge Road, North Ridgeville, Lorain County, Ohio, 44039, United States
SUITE 5
NORTH RIDGEVILLE, OH 440393086
Phone: (440) 327-1800
Fax: (440) 327-1533
Type: Mailing
6401 JAYCOX RD
NORTH RIDGEVILLE, OH 440391611
Phone: (440) 327-1800
Fax: (440) 327-1533
Type: Mailing
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.
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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: 2004-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (220 days ago).
Enrollment records
1
Earliest due date
2025-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040915000977 | O | Clinic/Group Practice | OH | 2025-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 44054)
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