DR. KATHLEEN MAVOURNEEN CUSICK PSYD
NPI 1679121461
Psychologist in Ypsilanti, MI

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment
135 S PROSPECT ST, YPSILANTI, MI 48198(248) 719-2845 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 4, 2025, Aug 27, 2019 (2 updates tracked since 2019).

About Dr. Kathleen Mavourneen Cusick Psyd NPPES

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

DR. KATHLEEN MAVOURNEEN CUSICK PSYD (NPI 1679121461) is an individual psychologist in Ypsilanti, Michigan, licensed in Michigan (6301016433) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679121461
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KATHLEEN MAVOURNEEN CUSICKCredential: PSYD
Location Address135 S PROSPECT STYpsilanti, MI 48198-7914
Mailing Address21637 Welch RdNorthville, MI 48167-2101 · (248) 719-2845
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 27, 2019
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
NPI 1679121461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301016433
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
135 S PROSPECT ST, Ypsilanti, MI 48198

Secondary Practice Locations 2

Location 18765 Lewis AveTemperance, MI 48182-9583 · Phone (734) 847-3802
Location 2130 Medical Center DrCarleton, MI 48117-9461 · Phone (734) 654-2169

Accepted 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. Kathleen Mavourneen Cusick Psyd 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 ID8729433438
PECOS Enrollment IDI20231016003606
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.

Other Providers at the Same Location NPPES 20

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

Surgery
135 S PROSPECT ST
YPSILANTI, MI 48198
Surgery
135 S PROSPECT ST
YPSILANTI, MI 48198
Nurse Anesthetist, Certified Registered
135 S PROSPECT ST
YPSILANTI, MI 48198
Registered Nurse (Registered Nurse First Assistant)
135 S PROSPECT ST
YPSILANTI, MI 48198
Registered Nurse (Medical-Surgical)
135 S PROSPECT ST
YPSILANTI, MI 48198
Psychologist (Clinical)
135 S PROSPECT ST
YPSILANTI, MI 48198
Registered Nurse (Registered Nurse First Assistant)
135 S PROSPECT ST
YPSILANTI, MI 48198
Registered Nurse (Registered Nurse First Assistant)
135 S PROSPECT ST
YPSILANTI, MI 48198

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 Kathleen Cusick's NPI number?

The NPI number for Kathleen Cusick is 1679121461. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Kathleen Cusick located?

Kathleen Cusick practices at 135 S Prospect St, Ypsilanti, MI 48198. The listed phone number is (248) 719-2845.

What is Kathleen Cusick's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kathleen Cusick enrolled in Medicare?

Yes. Kathleen Cusick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Cusick accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource, McLaren Health Plan Community and Oscar Insurance Company and 2 other insurers list Kathleen Cusick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Cusick was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.