Claire Ackerman, PH.D
Individual provider Active NPI Clinical Child & Adolescent Psychologist · Columbus, OH
NPI 1376852905 · NPPES record last updated Aug 23, 2012
Key facts
- NPI
- 1376852905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Child & Adolescent Psychologist 103TC2200X
- License
- 6709 (OH)
- Practice address
- 6435 E Broad St
Suite a
Columbus, OH 43213-1507 - Phone
- (614) 355-8160
- Fax
- (614) 355-8180
- NPI assigned
- Sep 30, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6709 | OH | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olentangy Pediatrics, Inc. | Past | Accepting new patients |
Interoperability endpoints
- claire.ackerman.1@6860.direct.athenahealth.com
- https://api.platform.athenahealth.com/6860/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6709 | OH | Yes |
Addresses
Primary practice location
6435 E Broad St
Suite a
Columbus, OH 43213-1507
Mailing address
PO Box 715194
Columbus, OH 43271-5194
Phone (614) 355-8004
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2846675 | Medicaid | OH |
Other providers in Columbus, OH
- Ruth L Ackah
- Sarah Adjepomaa Ackah
- Kay Ackerman-Martin
- Cara M. Ackerman
- Carol Ackerman
- Devon Ackerman
- John P Ackerman
- Olivia Ackerman
- Sasha Ackerman
- Wiebke Ackermann
All providers in Columbus, OH · Clinical Child & Adolescent Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.