Individual provider Active NPI

Louis Appiah-Kubi, PSY.D

  • Psychologist
  • Maitland, FL
National Provider Identifier
1174030928
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY11373 Issued in FL
Practice address
341 N Maitland Ave Ste 340
Maitland, FL 32751-4761
Phone
(407) 219-3281
NPI assigned
Jan 2, 2018
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P.08142 OH
Psychologist 103T00000X PY11373 FL Primary

Addresses

Primary practice location

341 N Maitland Ave Ste 340
Maitland, FL 32751-4761

Mailing address

8351 N High St Ste 155
Columbus, OH 43235-1440
Phone (614) 664-3595

Other practice location 1

8351 N High St Ste 155
Columbus, OH 43235-1440
Phone (614) 664-3595

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
I20210517001071 OH Practitioner - Clinical Psychologist 8123437431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY11373FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Providers for Healthy Living CurrentSince Apr 8, 2021 Accepting new patients
Providers for Healthy Living II CurrentSince Jan 26, 2022 Accepting new patients
Providers for Healthy Living PastSince Apr 1, 2021 Accepting new patients

Locations

341 N Maitland Ave
Ste 340
Maitland, FL 32751
Phone (407) 219-3281

8351 N High St
Ste 155
Columbus, OH 43235
Phone (614) 664-3595

3535 Fishinger Blvd
Ste 110
Hilliard, OH 43026
Phone (614) 545-9773

3931 Trueman Blvd
Hilliard, OH 43026
Phone (614) 664-3595

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1174030928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8351 N HIGH ST STE 155",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351440",
            "telephone_number": "614-664-3595",
            "fax_number": "614-664-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N MAITLAND AVE STE 340",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514761",
            "telephone_number": "407-219-3281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8351 N High St Ste 155",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432351440",
            "country_code": "US",
            "telephone_number": "614-664-3595",
            "fax_number": "614-664-3595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPIAH-KUBI",
        "first_name": "LOUIS",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-02",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.08142",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.