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Deactivated NPI 1558407031 Deactivated / Inactive NPI Male Practitioner

Dr. Larry R Killian , PhD

Psychologist • Chardon, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Killian has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 30, 2007
NPI Deactivation Date July 01, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Killian, PhD was a registered Psychologist practicing in Chardon, OH. Throughout an active medical career spanning 13 years, Dr. Killian provided care at the practice location at 12557 RAVENWOOD DR until profile deactivation on 2020-07-01.

Practice Location & Contact Primary Location

Practice Address

12557 Ravenwood Dr

Chardon, OH 440249009

Telephone 4402853568
Fax 4402854552
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Chardon, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Chardon, OH (1639 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OH 275

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kailyn Ratliff , LPN

Licensed Practical Nurse

NPI 1003371014

Licensed Practical Nurse

Audree Alick , LSW

Social Worker

NPI 1003590084

Licensed Social Worker

Lyndsay Pauler

Case Manager/Care Coordinator

NPI 1003748591
NPI 1013372176

Licensed Professional Counselor

Trisha Simonyi

Case Manager/Care Coordinator

NPI 1013652973
Vanessa Plautz

Peer Specialist

NPI 1013755495

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 01, 2020

Record deactivated on July 01, 2020

NPI Profile Active July 12, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 12, 2007

Registered at 12557 RAVENWOOD DR, CHARDON, OH 440249009 (Tel: 4402853568)

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Updated Business Mailing Address July 12, 2007

Registered at 505 S CHILLICOTHE RD, 251, AURORA, OH 442026537 (Tel: 3305628464)

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Provider Name / Credentials Updated July 12, 2007

Recorded as LARRY KILLIAN, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2007

Psychologist (License #275 in OH)

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Initial NPI Registration & Enumeration January 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558407031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2007
Last Update: July 12, 2007
Deactivation Date: July 01, 2020

Mailing Address

505 S Chillicothe Rd, 251

Aurora, OH 442026537

Phone: 3305628464

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.