Individual provider Active NPI

Dryw O Dworsky, PH.D.

  • Clinical Psychologist
  • Bowling Green, OH
National Provider Identifier
1295913309
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6263 Issued in OH
Practice address
Psychological Services Center
300 Psychology Building, Bgsu
Bowling Green, OH 43403-0232
Phone
(419) 372-2540
Fax
(419) 372-2533
NPI assigned
Jan 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X 6263 OH Primary

Addresses

Primary practice location

Psychological Services Center
300 Psychology Building, Bgsu
Bowling Green, OH 43403-0232

Mailing address

Psychological Services Center
300 Psychology Building, Bgsu
Bowling Green, OH 43403-0232
Phone (419) 372-2540

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

State licenses

LicenseStateTypeSpecialty
6263OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1295913309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSYCHOLOGICAL SERVICES CENTER",
            "address_2": "300 PSYCHOLOGY BUILDING, BGSU",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434030232",
            "telephone_number": "419-372-2540",
            "fax_number": "419-372-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PSYCHOLOGICAL SERVICES CENTER",
            "address_2": "300 PSYCHOLOGY BUILDING, BGSU",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434030232",
            "telephone_number": "419-372-2540",
            "fax_number": "419-372-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORSKY",
        "first_name": "DRYW",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.