Active NPI
Jeanne Marie Vonerden, PSY.D.
- Clinical Psychologist
- Mason, OH
National Provider Identifier
1013037589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5216
- Practice address
- 5750 Gateway
Ste. 203
Mason, OH 45040-1894 - Phone
- (513) 588-0777
- Fax
- (513) 759-5094
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5216 | OH | Primary |
Addresses
Primary practice location
5750 Gateway
Ste. 203
Mason, OH 45040-1894
Mailing address
PO Box 888
West Chester, OH 45071-0888
Phone (513) 588-0777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5216 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013037589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 888",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450710888",
"telephone_number": "513-588-0777",
"fax_number": "513-759-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 GATEWAY",
"address_2": "STE. 203",
"city": "MASON",
"state": "OH",
"postal_code": "450401894",
"telephone_number": "513-588-0777",
"fax_number": "513-759-5094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONERDEN",
"first_name": "JEANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.