Individual provider Active NPI

Barbara Jean Palombi, 103T00000X

  • Psychologist
  • Fort Sill, OK
National Provider Identifier
1205176567
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301009839 Issued in MI
Practice address
2442 Crane Ave
Fort Sill, OK 73503-4429
Phone
(580) 442-4832
Fax
(580) 442-7604
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301009839 MI Primary

Addresses

Primary practice location

2442 Crane Ave
Fort Sill, OK 73503-4429

Mailing address

2442 Crane Ave
Fort Sill, OK 73503-4429
Phone (580) 442-4832

Other names 1

  • Dr. David Dodd Professional name

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

LicenseStateTypeSpecialty
6301009839MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1205176567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 CRANE AVE",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034429",
            "telephone_number": "580-442-4832",
            "fax_number": "580-442-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 CRANE AVE",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034429",
            "telephone_number": "580-442-4832",
            "fax_number": "580-442-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBI",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "103T00000X",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "DODD",
            "prefix": "DR.",
            "credential": "103T00000X",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Sill, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.