KATHY ACUS-SOUDERS, PSY.D., LLC
NPI 1215112214
Psychologist - Clinical in Fairborn, OH

NPI Status: Active since January 08, 2008

Contact Information

2188 GATEWAY DR
FAIRBORN, OH
ZIP 45324
Phone: (937) 864-1940
Fax: (937) 864-1950

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  • Organization
  • Psychologist
  • Clinical

About KATHY ACUS-SOUDERS, PSY.D., LLC

This page provides the complete NPI Profile along with additional information for Kathy Acus-souders, Psy.d., Llc, a provider established in Fairborn, Ohio operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1215112214 assigned on January 2008. The practitioner's primary taxonomy code is 103TC0700X with license number 5311 (OH). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kathy Lynn Acus-souders Psy.d. (Clinical Psychologist)

NPI
1215112214
Provider Name
KATHY ACUS-SOUDERS, PSY.D., LLC
Entity Type
Organization
Location Address
2188 GATEWAY DR FAIRBORN, OH 45324
Location Phone
(937) 864-1940
Location Fax
(937) 864-1950
Mailing Address
2188 GATEWAY DR FAIRBORN, OH 45324
Mailing Phone
(937) 864-1940
Mailing Fax
(937) 864-1950
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2008
Last Update Date
11-26-2008
Code Navigator

A clinical psychologist like Kathy Acus-souders, Psy.d., Llc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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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

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
5311
License State
OH
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KATHY LYNN ACUS-SOUDERS PSY.D.

Authorized Official Title
CLINICAL PSYCHOLOGIST
Authorized Official Phone
(937) 864-1940

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
KA9358381MEDICARE PIN (08)OH 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215112214
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222521422
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 2 + 1 + 4 + 2 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1215112214 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

DR. KATHY LYNN ACUS-SOUDERS PSY.D.

Psychologist

(Clinical)

2188 GATEWAY DR
FAIRBORN, OH
ZIP 45324

(937) 864-7122

CECILIA JACOBS PSY.D.

Psychologist

(Clinical)

2188 GATEWAY DR
FAIRBORN, OH
ZIP 45324

(937) 320-5859

CECILIA JACOBS, PSY.D., LLC

Community/Behavioral Health

2188 GATEWAY DR
FAIRBORN, OH
ZIP 45324

(937) 320-5859

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215112214, enumerated as an "organization" on January 08, 2008.

The provider is located at 2188 GATEWAY DR FAIRBORN, OH 45324 and the phone number is (937) 864-1940.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.