DR. KEVIN JAMES KAVANAUGH PSY.D.
NPI 1508312505
Psychologist - Clinical in Madison, WI

Q: What is Kevin Kavanaugh's NPI number?

The NPI number for Kevin Kavanaugh is 1508312505. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Q: What is Kevin Kavanaugh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Kavanaugh was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since August 30, 2016PECOS EnrolledAccepts Medicare Assignment

2901 W BELTLINE HWY STE 301, MADISON, WI 53713(262) 999-3495(608) 236-4461 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, Dec 5, 2024, Jun 20, 2023 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Kevin James Kavanaugh Psy.d. NPPES

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

DR. KEVIN JAMES KAVANAUGH PSY.D. (NPI 1508312505) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (5075-57) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508312505

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KEVIN JAMES KAVANAUGHCredential: PSY.D.

Location Address2901 W BELTLINE HWY STE 301Madison, WI 53713-4228

Mailing Address16535 W Bluemound Rd Ste 200Brookfield, WI 53005-5906 · (480) 860-7889

Phone(262) 999-3495

Fax(608) 236-4461

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 30, 2016

Last NPPES UpdateMay 26, 20265 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1508312505 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 WI · 5075-57

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.

2901 W BELTLINE HWY STE 301, Madison, WI 53713

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin James Kavanaugh Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153799531

PECOS Enrollment IDI20241210003565

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

ALEXANDRA IVERSON MS MFT

Marriage & Family Therapist