Active NPI
Anny Ndoumbe Asong
- Intellectual & Developmental Disabilities Psychologist
- Blacklick, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- Practice address
- 1102 Golden Willow PL
Blacklick, OH 43004-7175 - Phone
- (614) 598-5227
- NPI assigned
- Oct 13, 2022
- Last updated
- Oct 13, 2022
- 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 |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | Primary |
Addresses
Primary practice location
1102 Golden Willow PL
Blacklick, OH 43004-7175
Mailing address
1102 Golden Willow PL
Blacklick, OH 43004-7175
Phone (614) 598-5227
Other practice location 1
1102 Golden Willow Pl
Blacklick, OH 43004-7175
Phone (614) 598-5227
Other practice location 2
1102 Golden Willow Pl
Blacklick, OH 43004-7175
Phone (614) 598-5227
Other practice location 3
442 Stone Shadow Dr
Blacklick, OH 43004-8097
Phone (614) 598-5227
Other practice location 4
1102 Golden Willow Pl
Blacklick, OH 43004-7175
Phone (614) 598-5227
Other practice location 5
1102 Golden Willow Pl
Blacklick, OH 43004-7175
Phone (161) 459-8522
Other practice location 6
1102 Golden Willow Pl
Blacklick, OH 43004-7175
Phone (614) 598-5227
Other practice location 7
1102 Golden Willow Pl
Blacklick, OH 43004-7175
Phone (614) 598-5227
Other practice location 8
1102 Golden Willow Pl
Blacklick, OH 43004-7175
Phone (614) 598-5227
Other practice location 9
1102 Golden Willow Pl
Blacklick, OH 43004-7175
Phone (614) 598-5227
Other practice location 10
1102 Golden Willow Pl
Blacklick, OH 43004-7175
Phone (614) 598-5227
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | azekahcare@outlook.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | azekahcare@outlook.com | Direct |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azekah Caregivers LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Blacklick, OH
- NPI 1790401495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1073239828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 GOLDEN WILLOW PL",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430047175",
"telephone_number": "614-598-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 GOLDEN WILLOW PL",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430047175",
"telephone_number": "614-598-5227"
}
],
"practiceLocations": [
{
"address_1": "1102 Golden Willow Pl",
"address_purpose": "LOCATION",
"city": "Blacklick",
"state": "OH",
"postal_code": "430047175",
"country_code": "US",
"telephone_number": "614-598-5227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 Golden Willow Pl",
"address_purpose": "LOCATION",
"city": "Blacklick",
"state": "OH",
"postal_code": "430047175",
"country_code": "US",
"telephone_number": "614-598-5227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "442 Stone Shadow Dr",
"address_purpose": "LOCATION",
"city": "Blacklick",
"state": "OH",
"postal_code": "430048097",
"country_code": "US",
"telephone_number": "614-598-5227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 Golden Willow Pl",
"address_purpose": "LOCATION",
"city": "Blacklick",
"state": "OH",
"postal_code": "430047175",
"country_code": "US",
"telephone_number": "614-598-5227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 Golden Willow Pl",
"address_purpose": "LOCATION",
"city": "Blacklick",
"state": "OH",
"postal_code": "430047175",
"country_code": "US",
"telephone_number": "161-459-8522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 Golden Willow Pl",
"address_purpose": "LOCATION",
"city": "Blacklick",
"state": "OH",
"postal_code": "430047175",
"country_code": "US",
"telephone_number": "614-598-5227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 Golden Willow Pl",
"address_purpose": "LOCATION",
"city": "Blacklick",
"state": "OH",
"postal_code": "430047175",
"country_code": "US",
"telephone_number": "614-598-5227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 Golden Willow Pl",
"address_purpose": "LOCATION",
"city": "Blacklick",
"state": "OH",
"postal_code": "430047175",
"country_code": "US",
"telephone_number": "614-598-5227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 Golden Willow Pl",
"address_purpose": "LOCATION",
"city": "Blacklick",
"state": "OH",
"postal_code": "430047175",
"country_code": "US",
"telephone_number": "614-598-5227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 Golden Willow Pl",
"address_purpose": "LOCATION",
"city": "Blacklick",
"state": "OH",
"postal_code": "430047175",
"country_code": "US",
"telephone_number": "614-598-5227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASONG",
"first_name": "ANNY",
"middle_name": "NDOUMBE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "azekahcare@outlook.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1102 Golden Willow Pl",
"city": "Blacklick",
"state": "OH",
"country_code": "US",
"postal_code": "430047175",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "azekahcare@outlook.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1102 Golden Willow Pl",
"city": "Blacklick",
"state": "OH",
"country_code": "US",
"postal_code": "430047175",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Blacklick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.