NPIMap

Organization Active NPI

Dayton Therapy and Assessment Practice, LLC

  • Clinical Psychologist
  • Beavercreek, OH
National Provider Identifier
1003526708
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DAYTON THERAPY AND ASSESSMENT PRACTICE, LLC
Practice address
70 Birch Alley
Suite 240, #3912
Beavercreek, OH 45440
Phone
(937) 499-0589
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joshua William Shuman, PSYDNPI 1851528269
Title
Owner
Phone
(937) 499-0589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

70 Birch Alley
Suite 240, #3912
Beavercreek, OH 45440

Mailing address

PO Box 397
Franklin, OH 45005-0397
Phone (937) 499-0589

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1003526708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450050397",
            "telephone_number": "937-499-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BIRCH ALLEY",
            "address_2": "SUITE 240, #3912",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45440",
            "telephone_number": "937-499-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON THERAPY AND ASSESSMENT PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-11-13",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-499-0589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.