Active NPI
Neuropsychology Services of Southwest Ohio, LLC
- Clinical Neuropsychologist
- Dayton, OH
National Provider Identifier
1083043079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6061
- Legal business name
- NEUROPSYCHOLOGY SERVICES OF SOUTHWEST OHIO, LLC
- Practice address
- 1 Elizabeth PL
Dayton, OH 45417-3445 - Phone
- (937) 424-8306
- Fax
- (937) 222-7726
- NPI assigned
- Nov 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicholas Doninger, PHD
- Title
- Owner
- Phone
- (847) 421-6323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6061 | OH | Primary |
Addresses
Primary practice location
1 Elizabeth PL
Dayton, OH 45417-3445
Mailing address
4954 Walnut Walk
Kettering, OH 45429-1936
Phone (847) 421-6323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0094672 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391558400000",
"number": "1083043079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4954 WALNUT WALK",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291936",
"telephone_number": "847-421-6323",
"fax_number": "937-395-8139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELIZABETH PL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173445",
"telephone_number": "937-424-8306",
"fax_number": "937-222-7726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROPSYCHOLOGY SERVICES OF SOUTHWEST OHIO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-11",
"last_updated": "2014-02-05",
"status": "A",
"authorized_official_last_name": "DONINGER",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-421-6323",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "OH",
"license": "6061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0094672",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.