Active NPI
Andrew Neil Colvin, PH.D.
- Clinical Neuropsychologist
- Columbus, OH
National Provider Identifier
1205966181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 5319
- Practice address
- 7870 Olentangy River Rd
Suite 200
Columbus, OH 43235-1319 - Phone
- (614) 430-9870
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 5319 | OH | Primary |
| Clinical Psychologist | 103TC0700X | 5319 | OH |
Addresses
Primary practice location
7870 Olentangy River Rd
Suite 200
Columbus, OH 43235-1319
Mailing address
7870 Olentangy River Rd
Suite 200
Columbus, OH 43235-1319
Phone (614) 430-9870
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5319 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1205966181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7870 OLENTANGY RIVER RD",
"address_2": "SUITE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432351319",
"telephone_number": "614-430-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7870 OLENTANGY RIVER RD",
"address_2": "SUITE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432351319",
"telephone_number": "614-430-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "ANDREW",
"middle_name": "NEIL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OH",
"license": "5319",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5319",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.