Individual provider Active NPI

Judith R Feiman, PHD

  • Clinical Psychologist
  • Mason, OH
National Provider Identifier
1245270057
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2144 Issued in OH
Practice address
5740 Gateway
Ste 104
Mason, OH 45040-1893
Phone
(513) 234-7870
Fax
(513) 234-7836
NPI assigned
Jun 8, 2006
Last updated
Aug 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2144 OH Primary

Addresses

Primary practice location

5740 Gateway
Ste 104
Mason, OH 45040-1893

Mailing address

5740 Gateway
Ste 104
Mason, OH 45040-1893
Phone (513) 234-7870

Other identifiers 1

IdentifierTypeStateIssuer
0339959MedicaidOH

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)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Professional Services Past Accepting new patients
Professional Psychiatric Services, LLC Past Accepting new patients
Saba a Chughtai LLC Clinical PastSince May 31, 2009 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1245270057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 GATEWAY",
            "address_2": "STE 104",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401893",
            "telephone_number": "513-234-7870",
            "fax_number": "513-234-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 GATEWAY",
            "address_2": "STE 104",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401893",
            "telephone_number": "513-234-7870",
            "fax_number": "513-234-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIMAN",
        "first_name": "JUDITH",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0339959",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.