JESSICA KUSINA MARK PHD
NPI 1013467968
Psychologist - Clinical Child & Adolescent in North Olmsted, OH
NPI Status: Active since October 04, 2016
Contact Information
2677 LORAIN ROAD
SUITE 320
NORTH OLMSTED, OH
ZIP 44070
Phone: (216) 801-4656
Fax: (216) 767-5900
- Individual
- Female
- Psychologist
- Clinical Child & Adolescent
- PECOS Enrolled
About JESSICA KUSINA MARK
This page provides the complete NPI Profile along with additional information for Jessica Kusina Mark, a provider established in North Olmsted, Ohio with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1013467968 assigned on October 2016. The practitioner's primary taxonomy code is 103TC2200X with license number P.08304 (OH). The provider is registered as an individual and her NPI record was last updated December 2025.
- NPI
- 1013467968
- Provider Name
- JESSICA KUSINA MARK PHD
- Other Name
- JESSICA KUSINA PHD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2677 LORAIN ROAD SUITE 320 NORTH OLMSTED, OH 44070
- Location Phone
- (216) 801-4656
- Location Fax
- (216) 767-5900
- Mailing Address
- 3690 CINNAMON WAY WESTLAKE, OH 44145
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-04-2016
- Last Update Date
- 12-10-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- P.08304
- License State
- OH
- Taxonomy Description
- A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Medicare Participation & PECOS Enrollment Status
Jessica Kusina Mark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013467968, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013467968, enumerated as an "individual" on October 04, 2016.
The provider is located at 2677 LORAIN ROAD SUITE 320 NORTH OLMSTED, OH 44070 and the phone number is (216) 801-4656.
Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.
