Mill Run Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MILL RUN PSYCHOLOGICAL SERVICES LLC

Practice address

3535 Fishinger Blvd
Hilliard, OH 43026-7504

Phone

(614) 917-1001

Fax

(614) 771-5267

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Dana Schultz, MDNPI 1720087042

Title

President

Phone

(614) 771-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Joseph Schultz, MD

  • Pediatrics Physician
  • Hilliard, OH
  • NPI 1720087042
  NPD (past) Authorized official

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1104258482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 FISHINGER BLVD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267504",
            "telephone_number": "614-917-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 FISHINGER BLVD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267504",
            "telephone_number": "614-917-1001",
            "fax_number": "614-771-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL RUN PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-771-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089303",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Neuro Ophthalmology, LLC
• Brendan J. Miedema, LISW-SUPV
• Mill Run Care Center, LLC
• Mill Run Chiropractic Center Inc.
• Mill Run Endodontics
• Abby Miller, LSW
• Alissa Miller
• Aryn Miller
• Bethany Shaye Miller, DPT
• Carla Miller, PHD, RD

• Clinical Psychologist in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.