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

Active since January 08, 2008
2188 GATEWAY DR, FAIRBORN, OH 45324(937) 864-1940(937) 864-1950 Get Directions Write a Review

NPPES record last updated: November 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathy Acus-souders, Psy.d., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHY ACUS-SOUDERS, PSY.D., LLC (NPI 1215112214) is a healthcare organization registered as a clinical in Fairborn, Ohio and active in the NPI registry since January 2008. The organization lists Kathy Lynn Acus-souders, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1215112214
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKATHY ACUS-SOUDERS, PSY.D., LLC
Location Address2188 GATEWAY DRFairborn, OH 45324-6356
Mailing Address2188 Gateway DrFairborn, OH 45324-6356 · (937) 864-1940 · Fax (937) 864-1950
Phone(937) 864-1940
Fax(937) 864-1950
Organization SubpartNo
Authorized OfficialKathy Lynn Acus-soudersClinical Psychologist · (937) 864-1940
Enumeration DateJanuary 8, 2008
Last NPPES UpdateNovember 26, 2008
✔ NPI 1215112214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OH · 5311
Definition
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.
2188 GATEWAY DR, Fairborn, OH 45324
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Other Identifiers 1

Medicare PINKA9358381OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CECILIA JACOBS, PSY.D., LLC
Community/Behavioral Health
2188 GATEWAY DR
FAIRBORN, OH 45324
Greene County (937) 320-5859
DR. KATHY LYNN ACUS-SOUDERS PSY.D.
Psychologist (Clinical)
2188 GATEWAY DR
FAIRBORN, OH 45324
Greene County (937) 864-7122
CECILIA JACOBS PSY.D.
Psychologist (Clinical)
2188 GATEWAY DR
FAIRBORN, OH 45324
Greene County (937) 320-5859

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Acus-Souders, Psy.D., LLC's NPI number?

The NPI number for Kathy Acus-Souders, Psy.D., LLC is 1215112214. It was assigned to this organization in the NPPES registry on January 8, 2008.

Where is Kathy Acus-Souders, Psy.D., LLC located?

Kathy Acus-Souders, Psy.D., LLC is located at 2188 Gateway Dr, Fairborn, OH 45324. The listed phone number is (937) 864-1940.

What is Kathy Acus-Souders, Psy.D., LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kathy Acus-Souders, Psy.D., LLC was last updated on November 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.