Organization Active NPI

K C Greer, PHD & Associates, LLC

  • Clinical Psychologist
  • Reynoldsburg, OH
National Provider Identifier
1356532097
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4812 Issued in OH
Legal business name
K C GREER, PHD & ASSOCIATES, LLC
Practice address
6420 E Main St
Suite 204
Reynoldsburg, OH 43068-2357
Phone
(614) 577-1070
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Kimberly Carter Greer, PH.D.
Title
Clinical Psychologist
Phone
(614) 577-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4812 OH Primary

Addresses

Primary practice location

6420 E Main St
Suite 204
Reynoldsburg, OH 43068-2357

Mailing address

6420 E Main St
Suite 204
Reynoldsburg, OH 43068-2357
Phone (614) 577-1070

Other identifiers 1

IdentifierTypeStateIssuer
103TC0700XOtherOHTAXONOMY

National Provider Directory

National Provider Directory

Locations

6420 E Main St
Ste 204
Reynoldsburg, OH 43068
Phone (614) 321-9298

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1356532097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 E MAIN ST",
            "address_2": "SUITE 204",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682357",
            "telephone_number": "614-577-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 E MAIN ST",
            "address_2": "SUITE 204",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682357",
            "telephone_number": "614-577-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K C GREER, PHD & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "614-577-1070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "103TC0700X",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.