NPIMap

Organization Active NPI

Ace Psychological Services LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Heath, OH
National Provider Identifier
1033515333
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
6873 Issued in OH
Legal business name
ACE PSYCHOLOGICAL SERVICES LLC
Practice address
575 Industrial Pkwy
Heath, OH 43056-1647
Phone
(740) 877-3440
NPI assigned
Nov 13, 2014
Last updated
Nov 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Amynda Rhodes, PSY DNPI 1609272020
Title
Sole Member
Phone
(740) 877-3440

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
Addiction (Substance Use Disorder) Psychologist 103TA0400X 6873 OH Primary

Addresses

Primary practice location

575 Industrial Pkwy
Heath, OH 43056-1647

Mailing address

575 Industrial Pkwy
Heath, OH 43056-1647
Phone (740) 877-3440

Other practice location 1

575 Industrial Pkwy
Heath, OH 43056-1529
Phone (740) 877-3440

Other identifiers 2

IdentifierTypeStateIssuer
0136215MedicaidOH
0192881MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150520002638 OH Part B Supplier - Clinic/Group Practice 7810217536 Receives reassigned benefits from 17 practitioners
Practice locations: Heath, OH

National Provider Directory

National Provider Directory

Locations

2670 N Columbus St
Ste L
Lancaster, OH 43130

6264 S Sunbury Rd
Ste 400
Westerville, OH 43081
Phone (614) 406-4789

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1033515333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 INDUSTRIAL PKWY",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561647",
            "telephone_number": "740-877-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 INDUSTRIAL PKWY",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561647",
            "telephone_number": "740-877-3440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Industrial Pkwy",
            "address_purpose": "LOCATION",
            "city": "Heath",
            "state": "OH",
            "postal_code": "430561529",
            "country_code": "US",
            "telephone_number": "740-877-3440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACE PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "AMYNDA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "740-877-3440",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "6873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136215",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192881",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.