Individual provider Active NPI

Anna K Dendy, PHD

  • Psychologist
  • Beachwood, OH
National Provider Identifier
1396086617
Registry record updated Sep 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P6983 Issued in OH
Practice address
25101 Chagrin Blvd
Suite 100
Beachwood, OH 44122-5643
Phone
(216) 831-6611
Fax
(216) 456-8128
NPI assigned
Mar 12, 2013
Last updated
Sep 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P6983 OH Primary

Addresses

Primary practice location

25101 Chagrin Blvd
Suite 100
Beachwood, OH 44122-5643

Mailing address

25101 Chagrin Blvd
Suite 100
Beachwood, OH 44122-5643
Phone (216) 831-6611

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P6983OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
RGN Counseling LLC Past Accepting new patients
KLS Counseling LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pbc.annadendy@140094.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441497600000",
    "number": "1396086617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 CHAGRIN BLVD",
            "address_2": "SUITE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225643",
            "telephone_number": "216-831-6611",
            "fax_number": "216-456-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 CHAGRIN BLVD",
            "address_2": "SUITE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225643",
            "telephone_number": "216-831-6611",
            "fax_number": "216-456-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENDY",
        "first_name": "ANNA",
        "middle_name": "K",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2015-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P6983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2015; 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.