Individual provider Active NPI

Cathy Della Mora, PHD

  • Clinical Neuropsychologist
  • Columbus, OH
National Provider Identifier
1154489441
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
4975 Issued in OH
Practice address
7870 Olentangy River Rd
Suite 310
Columbus, OH 43235-1319
Phone
(614) 433-2558
Fax
(614) 433-2558
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 4975 OH Primary

Addresses

Primary practice location

7870 Olentangy River Rd
Suite 310
Columbus, OH 43235-1319

Mailing address

PO Box 1216
Worthington, OH 43085-1216
Phone (614) 433-2558

Other identifiers 1

IdentifierTypeStateIssuer
000000116780OtherOHINSURANCE - ANTHEM BCBS

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
I20041104000157 OH Practitioner - Clinical Psychologist 1658334347 Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7650 Rivers Edge Dr
Columbus, OH 43235-1342
Phone (614) 433-2558

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4975OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1154489441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1216",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430851216",
            "telephone_number": "614-433-2558",
            "fax_number": "614-433-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 OLENTANGY RIVER RD",
            "address_2": "SUITE 310",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351319",
            "telephone_number": "614-433-2558",
            "fax_number": "614-433-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLA MORA",
        "first_name": "CATHY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "4975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE - ANTHEM BCBS",
            "identifier": "000000116780",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.