NPIMap

Organization Active NPI

Susan Weltner-Brunton, PH.D., Inc.

  • Clinical Psychologist
  • Columbus, OH
National Provider Identifier
1255479127
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4384 Issued in OH
Legal business name
SUSAN WELTNER-BRUNTON, PH.D., INC.
Practice address
921 Chatham LN
Suite 112
Columbus, OH 43221-2418
Phone
(614) 754-7648
Fax
(614) 754-7965
NPI assigned
Feb 2, 2007
Last updated
May 15, 2009By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. Susan Lynn Weltner, PH.D.
Title
President
Phone
(614) 754-7648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4384 OH Primary

Addresses

Primary practice location

921 Chatham LN
Suite 112
Columbus, OH 43221-2418

Mailing address

921 Chatham LN
Suite 112
Columbus, OH 43221-2418
Phone (614) 754-7648

Other identifiers 1

IdentifierTypeStateIssuer
116400000OtherOHMAGELLAN

National Provider Directory

National Provider Directory

Locations

921 Chatham Ln
Ste 112
Columbus, OH 43221
Phone (614) 754-7648

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1255479127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CHATHAM LN",
            "address_2": "SUITE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212418",
            "telephone_number": "614-754-7648",
            "fax_number": "614-754-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CHATHAM LN",
            "address_2": "SUITE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212418",
            "telephone_number": "614-754-7648",
            "fax_number": "614-754-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN WELTNER-BRUNTON, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "WELTNER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-754-7648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "116400000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.