Individual provider Active NPI

Anny Ndoumbe Asong

  • Intellectual & Developmental Disabilities Psychologist
  • Blacklick, OH
National Provider Identifier
1073239828
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Practice address
1102 Golden Willow PL
Blacklick, OH 43004-7175
Phone
(614) 598-5227
NPI assigned
Oct 13, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Azekah Caregivers LLC CurrentSince Oct 16, 2022 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.

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.

Verify at the official NPI Registry.