Active NPI
David Charles Deal, PHD
- Clinical Psychologist
- Defiance, OH
National Provider Identifier
1255347183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2989
- Practice address
- 1450 S Clinton St
Defiance, OH 43512-3243 - Phone
- (419) 784-3393
- Fax
- (419) 784-3393
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2989 | OH | Primary |
Addresses
Primary practice location
1450 S Clinton St
Defiance, OH 43512-3243
Mailing address
1688 Terrawenda Dr
Defiance, OH 43512-3247
Phone (419) 784-3393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060320000414 | OH | Practitioner - Clinical Psychologist | 5193732956 | Practice locations: Defiance, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255347183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1688 TERRAWENDA DR",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435123247",
"telephone_number": "419-784-3393",
"fax_number": "419-784-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 S CLINTON ST",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435123243",
"telephone_number": "419-784-3393",
"fax_number": "419-784-3393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAL",
"first_name": "DAVID",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "2989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Defiance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.