Melanie Kennebeck, PHD
NPI 1124517396 · Clinical Psychologist · Sandusky, OH
Enrolled with Medicare as Order and Referring Only - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124517396
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- P.08281 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (6)
- 117 Addison StKelleys Island, OH 43438-6500Phone: (567) 867-5174
- 316 Mason Rd WMilan, OH 44846-9500Phone: (567) 867-5174
- 34 Executive Dr Ste aNorwalk, OH 44857-2490Phone: (567) 867-5174
- 221 W Parish StSandusky, OH 44870-4877Phone: (567) 867-5174
- 501 Superior StSandusky, OH 44870Phone: (567) 304-3900
- 1250 Sanford StVermilion, OH 44089-1577Phone: (567) 867-5174
Registry dates
- Enumerated
- 2018-05-03
- Last updated
- 2025-02-18
- Certified
- 2025-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.