Roger N Reeb, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5738 Issued in OH

Practice address

300 College Park Ave
St Josheph Hall #306
University of Dayton, OH 45469-1430

Phone

(937) 626-6300

Fax

(937) 434-8590

NPI assigned

Feb 22, 2006

Last updated

Mar 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Dong S. Moon,M.D.,Inc.

  dba New Perspectives

  • Psychiatry Physician
  • Centerville Finance, OH
  • NPI 1134271752
  NPD (past)
• Dong S. Moon,M.D.Inc.,

  dba new perspectives

  • Psychiatry Physician
  • Centerville, OH
  • NPI 1780779819
  NPD (past)
• University Psychological Services Association

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1760483135
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330819200000",
    "number": "1326013418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CUSHWA DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594316",
            "telephone_number": "937-626-6300",
            "fax_number": "937-434-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLLEGE PARK AVE",
            "address_2": "ST JOSHEPH HALL #306",
            "city": "UNIVERSITY OF DAYTON",
            "state": "OH",
            "postal_code": "454691430",
            "telephone_number": "937-626-6300",
            "fax_number": "937-434-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEB",
        "first_name": "ROGER",
        "middle_name": "N",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2307855",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2012; 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.