NPIMap

Organization Active NPI

Center for Assessment and Psychological Services, Inc.

  • Community/Behavioral Health Agency
  • Sandusky, OH
National Provider Identifier
1073902862
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5908 Issued in OH
Legal business name
CENTER FOR ASSESSMENT AND PSYCHOLOGICAL SERVICES, INC.
Practice address
1919 Sandusky Mall Blvd
Sandusky, OH 44870-8912
Phone
(419) 602-3149
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Dr. Shealynne Anne Baus, PSY.D.
Title
Clinical Psychologist
Phone
(419) 602-3149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5908 OH Primary

Addresses

Primary practice location

1919 Sandusky Mall Blvd
Sandusky, OH 44870-8912

Mailing address

716 Tracht Meadows Dr
Huron, OH 44839-1042
Phone (419) 357-1860

Other identifiers 1

IdentifierTypeStateIssuer
2381042MedicaidOH

National Provider Directory

National Provider Directory

Locations

1919 Sandusky Mall Blvd
Sandusky, OH 44870
Phone (419) 602-3149

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1073902862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 TRACHT MEADOWS DR",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448391042",
            "telephone_number": "419-357-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 SANDUSKY MALL BLVD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448708912",
            "telephone_number": "419-602-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ASSESSMENT AND PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "BAUS",
        "authorized_official_first_name": "SHEALYNNE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "419-602-3149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "5908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2381042",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.