Clinical Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6215 Issued in OH

Legal business name

CLINICAL PSYCHOLOGICAL SERVICES, LLC

Practice address

1020 Woodman Dr
Suite 300
Dayton, OH 45432-1446

Phone

(937) 750-0294

Fax

(937) 401-0370

NPI assigned

Jul 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Lorena Kvalheim, PSYD

Title

Clinical Psychologist

Phone

(937) 750-0294

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1174964662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 WILTSHIRE BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454192634",
            "telephone_number": "937-546-7622",
            "fax_number": "937-401-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WOODMAN DR",
            "address_2": "SUITE 300",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321446",
            "telephone_number": "937-750-0294",
            "fax_number": "937-401-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "KVALHEIM",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "937-750-0294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Ann Clifton, RN
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• Anna Louise Clontz, CDCA
• Alicia Clore, M.S. CCC-SLP
• Gayle M Close, MD
• Adam R Cloud, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.