Individual provider Active NPI

Bobbie Lynn Celeste, PH.D.

  • Psychologist
  • Columbus, OH
National Provider Identifier
1346463486
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5316 Issued in OH
Practice address
1155 W 3Rd Ave
Columbus, OH 43212-3043
Phone
(614) 488-7455
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5316 OH Primary

Addresses

Primary practice location

1155 W 3Rd Ave
Columbus, OH 43212-3043

Mailing address

1230 Oakland Ave
Columbus, OH 43212-3317
Phone (614) 488-5655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 1, 2017 through Feb 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5316OHMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346463486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 OAKLAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123317",
            "telephone_number": "614-488-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W 3RD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123043",
            "telephone_number": "614-488-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESTE",
        "first_name": "BOBBIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.