Individual provider Active NPI

Aubrey Dawn Morrison-Gill, PSY.D.

  • Clinical Psychologist
  • Kettering, OH
National Provider Identifier
1255798468
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7396 Issued in OH
Practice address
3085 Woodman Dr Ste 240
Kettering, OH 45420-1159
Phone
(937) 951-3077
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 7396 OH Primary

Addresses

Primary practice location

3085 Woodman Dr Ste 240
Kettering, OH 45420-1159

Mailing address

3085 Woodman Dr Ste 240
Kettering, OH 45420-1159
Phone (937) 951-3077

Other practice location 1

4134 Linden Ave Ste 200
Dayton, OH 45432-3035
Phone (937) 254-7301

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619002364 OH Practitioner - Clinical Psychologist 8820388960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearthstone Psychology LLCGroup PAC ID 9830444843, 5 clinicians

Practice addresses (Care Compare)

3085 Woodman Dr
Suite 240
Kettering, OH 45420-1159
Phone (937) 951-3077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7396OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearthstone Psychology LLC Clinical CurrentSince May 1, 2018 Accepting new patients

Locations

3085 Woodman Dr
Ste 240
Kettering, OH 45420
Phone (937) 266-5006

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255798468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 240",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201159",
            "telephone_number": "937-951-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 240",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201159",
            "telephone_number": "937-951-3077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4134 Linden Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454323035",
            "country_code": "US",
            "telephone_number": "937-254-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON-GILL",
        "first_name": "AUBREY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.