NPIMap

Individual provider Active NPI

Pamela Chapman CP

  • Clinical Psychologist
  • Columbus, OH
National Provider Identifier
1134318322
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5121 Issued in OH
Practice address
5350 E Livingston Avenue
Suite 104
Columbus, OH 43232-6807
Phone
(614) 856-4377
Fax
(614) 856-4378
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 5121 OH
Clinical Psychologist 103TC0700X 5121 OH Primary
Counseling Psychologist 103TC1900X 5121 OH
Forensic Psychologist 103TF0200X 5121 OH

Addresses

Primary practice location

5350 E Livingston Avenue
Suite 104
Columbus, OH 43232-6807

Mailing address

5350 E Livingston Ave
Suite 104
Columbus, OH 43232-6807
Phone (614) 856-4377

Other identifiers 4

IdentifierTypeStateIssuer
1649545567OtherOHPSYCHOLOGIST EDUCATOR ADVOCATE CONSULTANT ERUDITE TASK FORCE
2073894MedicaidOH
1881734549OtherOHPAMELA CHAPMAN, PH.D., INC.
217701OtherOHMT CARMEL BEHAVIORAL HEAL

Other names 1

  • Dr. P. Chapman Professional name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5121OHMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychologist Educator Advocate Consultant Erudite Task Force Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1134318322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 E LIVINGSTON AVE",
            "address_2": "SUITE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432326807",
            "telephone_number": "614-856-4377",
            "fax_number": "614-856-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 E LIVINGSTON AVENUE",
            "address_2": "SUITE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432326807",
            "telephone_number": "614-856-4377",
            "fax_number": "614-856-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN CP",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OH",
            "license": "5121",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5121",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "5121",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OH",
            "license": "5121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST EDUCATOR ADVOCATE CONSULTANT ERUDITE TASK FORCE",
            "identifier": "1649545567",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2073894",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAMELA CHAPMAN, PH.D., INC.",
            "identifier": "1881734549",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT CARMEL BEHAVIORAL HEAL",
            "identifier": "217701",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "P.",
            "last_name": "CHAPMAN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.