Individual provider Active NPI

Claire Ann Robitaille, PH.D, PSYCHOLOGIST

  • Clinical Psychologist
  • Newark, OH
National Provider Identifier
1215057781
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6497 Issued in OH
Practice address
31 W Church St
Newark, OH 43055-5514
Phone
(740) 381-1777
Fax
(740) 687-6677
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S8681 OH
Clinical Psychologist 103TC0700X 6497 OH Primary

Addresses

Primary practice location

31 W Church St
Newark, OH 43055-5514

Mailing address

6294 Lafayette Rd
Granville, OH 43023-9766
Phone (740) 587-7802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20160527000158 OH Practitioner - Clinical Psychologist 0941590236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6497OHMDClinical Psychologist
S8681OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Psychological Services Inc CurrentSince Oct 5, 2021 Accepting new patients
Mid-Ohio Psychological Services Inc CurrentSince Apr 9, 2016 Accepting new patients

Locations

624 E Main St
Lancaster, OH 43130
Phone (740) 475-0488

106 Starret St
Ste 100
Lancaster, OH 43130
Phone (740) 687-0042

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1215057781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6294 LAFAYETTE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239766",
            "telephone_number": "740-587-7802",
            "fax_number": "740-321-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W CHURCH ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555514",
            "telephone_number": "740-381-1777",
            "fax_number": "740-687-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBITAILLE",
        "first_name": "CLAIRE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PH.D, PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S8681",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.