Active NPI
Cara Picciano
- School Psychologist
- Boardman, OH
National Provider Identifier
1174943187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- OH1405557
- Practice address
- 100 Debartolo PL Ste 220
Boardman, OH 44512-6095 - Phone
- (216) 408-5749
- NPI assigned
- Apr 17, 2014
- Last updated
- Apr 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | OH1405557 | OH | Primary |
Addresses
Primary practice location
100 Debartolo PL Ste 220
Boardman, OH 44512-6095
Mailing address
1270 Windel Way
Boardman, OH 44512-3752
Phone (216) 408-5749
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH1405557 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1174943187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 WINDEL WAY",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445123752",
"telephone_number": "216-408-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DEBARTOLO PL STE 220",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126095",
"telephone_number": "216-408-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCIANO",
"first_name": "CARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "OH1405557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
- Sally Lee Phillips, RN
- Taylor James Phillips
- Pauline Phung, D.O.
- Physicians Diagnostic & Rehabilitation Center Inc
- Physicians Dialysis Company Inc. (Physicians Dialysis Center Boardman)
- Alisha Pierce
- Pinnacle Health Concepts, LLC
- Pinnacle Health Concepts, LLC
- Pinnacle Integrated Health, LLC
- Sara Plate, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.