Douglas Waltman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3553 Issued in OH

Practice address

9002 Mentor Ave
Mentor, OH 44060-6302

Phone

(440) 205-1008

Fax

(440) 205-1047

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Rakesh Ranjan M.D. & Assoc., Inc.

  • Clinical Medical Laboratory
  • Garfield Heights, OH
  • NPI 1033143722
  Medicare reassignment NPD
• Rakesh Ranjan MD & Associates, Inc.

  • Specialty Pharmacy
  • Garfield Heights, OH
  • NPI 1225435597
  NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1285850180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606302",
            "telephone_number": "440-205-1008",
            "fax_number": "440-205-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606302",
            "telephone_number": "440-205-1008",
            "fax_number": "440-205-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTMAN",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martina Walker
• Maysie Malloy Walker, MA SLP
• Aaron Wallace
• Marisa Wallace, LPC
• Rachel Wallace, RN
• Peijian Wang
• Jessica Ann Ward, MA
• Lisa Marie Ward, MD
• Marilee Ward, LICDC
• Matthew Russell Ward, D.C.

• Clinical Psychologist in Mentor, OH
• Providers in Mentor, 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 28, 2011; 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.

Verify at the official NPI Registry.