Premier Health Specialists Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PREMIER HEALTH SPECIALISTS INC

Doing business as

Health Psychology Associates

Practice address

30 E Apple St
Ste 6255
Dayton, OH 45409-2939

Phone

(937) 208-2554

Fax

(937) 208-3893

NPI assigned

Jan 10, 2008

Last updated

Nov 7, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

PREMIER HEALTH SPECIALISTS INCAs reported in NPPES

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

Authorized official

Name

Christopher Danis

Title

Ceo/President

Phone

(937) 208-2554

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Health Psychology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Part of

Premierhealth

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James C Gilchrist, PHD

  • Clinical Neuropsychologist
  • Dayton, OH
  • NPI 1144315086
  NPD (past)
• Douglas C Griffith, PSYD

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1366522286
  NPD (past)
• Bruce L Ladle, PHD

  • Rehabilitation Psychologist
  • Dayton, OH
  • NPI 1205921061
  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1235315169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST",
            "address_2": "STE 6255",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-2554",
            "fax_number": "937-208-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST",
            "address_2": "STE 6255",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-2554",
            "fax_number": "937-208-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH SPECIALISTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER HEALTH SPECIALISTS INC",
        "enumeration_date": "2008-01-10",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "DANIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "937-208-2554"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2818777",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Psychology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.