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Deactivated NPI 1750449351 Deactivated / Inactive NPI Male Practitioner

Dr. Ronan M Kisch , PhD

Psychologist • Dayton, 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. Ronan Kisch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2006
NPI Deactivation Date December 20, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Ronan Kisch, PhD was a registered Psychologist practicing in Dayton, OH. Throughout an active medical career spanning 17 years, Dr. Kisch provided care at the practice location at 3905 FAR HILLS AVE until profile deactivation on 2023-12-20.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3905 Far Hills Ave

Dayton, OH 454292411

Telephone 9372939113
Fax 9372935287
Associated Practice Facility / Clinic
🏢 Yvonne Dalton Md Inc Facility NPI 1538483573

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.1 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
65 Specialists

Practicing in Dayton, OH (1639 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
7.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
126 12 $110.00 $101.40

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OH 2669

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.

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 December 20, 2023

Record deactivated on December 20, 2023

NPI Profile Active September 14, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 14, 2016

Registered at 3905 FAR HILLS AVE, DAYTON, OH 454292411 (Tel: 9372939113)

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Updated Business Mailing Address September 14, 2016

Registered at 3905 FAR HILLS AVE, DAYTON, OH 454292411 (Tel: 9372939113)

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Provider Name / Credentials Updated September 14, 2016

Recorded as RONAN KISCH, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2016

Psychologist (License #2669 in OH)

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Initial NPI Registration & Enumeration December 05, 2006

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: 1750449351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: September 14, 2016
Deactivation Date: December 20, 2023

Mailing Address

3905 Far Hills Ave

Dayton, OH 454292411

Phone: 9372939113

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

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