Geoffrey E. Putt, PSY.D

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

5941 Issued in OH

Practice address

1 Perkins SQ
Akron, OH 44308-1063

Phone

(330) 543-6080

Fax

(330) 543-4271

NPI assigned

Jul 14, 2006

Last updated

Oct 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Cfpa LLC

  dba Child & Family Psychological Associates

  • Psychologist
  • Cuyahoga Falls, OH
  • NPI 1780987461
  Medicare reassignment NPD
• Children's Hospital Medical Center of Akron

  dba Akron Children's Hospital-Physician Group

  • Pediatrics Physician
  • Akron, OH
  • NPI 1841328853
  NPD (past)
• Universal Medical Administration

  • Podiatrist
  • Cleveland, OH
  • NPI 1669412201
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1144246448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-543-6080",
            "fax_number": "330-543-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-543-6080",
            "fax_number": "330-543-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTT",
        "first_name": "GEOFFREY",
        "middle_name": "E.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "5941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Marie Putka, AU.D.
• Heather Ann Putnam, CNP
• Tanea Putnam
• Tatiana Monet Putnam
• Teasia Minyea Putnam
• Kristin Putz
• Cara Puzzio, DO
• Basu D Pyakurel, CDCA
• Hafiza Abeera Qadeer
• Faisal Sajjad Qadir, M.D.

• Clinical Child & Adolescent Psychologist in Akron, OH
• Providers in Akron, OH by specialty
• Clinical Child & Adolescent Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.