Active NPI
Jamie Hall
- Clinical Psychologist
- Dublin, OH
National Provider Identifier
1215613559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P.08467
- Practice address
- 5174 Blazer Pkwy
Dublin, OH 43017-1339 - Phone
- (614) 792-9104
- Fax
- (614) 792-2382
- NPI assigned
- Jun 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P.08467 | OH | Primary |
Addresses
Primary practice location
5174 Blazer Pkwy
Dublin, OH 43017-1339
Mailing address
5174 Blazer Pkwy
Dublin, OH 43017-1339
Phone (614) 792-9104
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 |
|---|---|---|---|
| P.08467 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1215613559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5174 BLAZER PKWY",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430171339",
"telephone_number": "614-792-9104",
"fax_number": "614-792-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5174 BLAZER PKWY",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430171339",
"telephone_number": "614-792-9104",
"fax_number": "614-792-2382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JAMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-22",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "P.08467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.