Active NPI
Renee Devlin, PH.D.
- Clinical Child & Adolescent Psychologist
- Columbus, OH
National Provider Identifier
1336430073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 6557
- Practice address
- 2540 Billingsley Rd
Columbus, OH 43235-1990 - Phone
- (614) 470-2018
- Fax
- (614) 489-6200
- NPI assigned
- Apr 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6557 | OH | Primary |
Addresses
Primary practice location
2540 Billingsley Rd
Columbus, OH 43235-1990
Mailing address
235 Olentangy St
Columbus, OH 43202-2340
Phone (614) 446-1339
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6557 | OH | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1336430073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 OLENTANGY ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432022340",
"telephone_number": "614-446-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 BILLINGSLEY RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432351990",
"telephone_number": "614-470-2018",
"fax_number": "614-489-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "6557",
"primary": true
}
],
"identifiers": [],
"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 Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.