David W Drake, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4862-OH Issued in OH

Practice address

90 Remick Blvd
Springboro, OH 45066-9168

Phone

(937) 885-9474

Fax

(937) 885-9479

NPI assigned

Jun 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• FCC Associates, Inc.

  dba David W Drake, PhD

  • Clinical Psychologist
  • Springboro, OH
  • NPI 1306898226
  NPD (past) Authorized official

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1144266818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 REMICK BLVD",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669168",
            "telephone_number": "937-885-9474",
            "fax_number": "937-885-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 REMICK BLVD",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669168",
            "telephone_number": "937-885-9474",
            "fax_number": "937-885-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4862-OH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382858",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Ann Dlugos, RPH
• Amy Dolan
• Dominic Dipierro, DPM, LLC (Buckeye Foot and Ankle Specialists)
• Will Dalton Donahue, M.A
• Vanessa Lynn Douglas, PNP
• Drayer Physical Therapy Institute LLC
• Dreamer Healthcare
• Hannah Dunlap, RD
• Thomas Judson Dunn, D.O
• Paula A Eichmann, PNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.