Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin James Kavanaugh, PSYD

Individual provider Clinical Psychologist · NPI 1508312505

Dr. Kevin James Kavanaugh, PSYD is a Clinical Psychologist in Madison, Wisconsin. Qualified in 2018, 8 years ago. Practices with Cornerstone Counseling Services Inc, a 328-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2016
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2901 W Beltline Hwy Ste 301
Madison, WI 53713-4228
Phone: (262) 999-3495
Fax: (608) 236-4461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5075-57 (WI)

Record details

NPI number1508312505
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 30, 2016
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cornerstone Counseling Services Inc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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