Individual provider Active NPI

Roxanne Angela Lewis, PHD

  • Clinical Neuropsychologist
  • Columbus, OH
National Provider Identifier
1124049556
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3428 Issued in OH
Practice address
200 E Campus View Blvd
Suite 200
Columbus, OH 43235-4678
Phone
(614) 985-3649
Fax
(614) 985-3601
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3428 OH Primary
Clinical Psychologist 103TC0700X 3574 MA
Clinical Psychologist 103TC0700X 60009283 WA

Addresses

Primary practice location

200 E Campus View Blvd
Suite 200
Columbus, OH 43235-4678

Mailing address

387 County Line Rd W
Ste 225
Westerville, OH 43082-6918
Phone (614) 985-3649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000858 OH Practitioner - Clinical Psychologist 0749231124 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
60009283WAMDClinical Psychologist
3574MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Wellness Center LLC CurrentSince Mar 1, 2015 Accepting new patients
Hope Recovery Center LLC CurrentSince Aug 13, 2020 Accepting new patients
Apexmeds Past Accepting new patients

Locations

30701 Lorain Rd
Ste A
North Olmsted, OH 44070

387 County Line Rd W
Ste 225
Westerville, OH 43082
Phone (614) 776-5541

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1124049556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 COUNTY LINE RD W",
            "address_2": "STE 225",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826918",
            "telephone_number": "614-985-3649",
            "fax_number": "614-985-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CAMPUS VIEW BLVD",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354678",
            "telephone_number": "614-985-3649",
            "fax_number": "614-985-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ROXANNE",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "3428",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3574",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60009283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.