Active NPI
Beverly Nordhausen
- School Psychologist
- Loveland, OH
National Provider Identifier
1396287223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- CI1013621
- Practice address
- 6281 Tri Ridge Blvd
Loveland, OH 45140 - Phone
- (513) 791-5766
- NPI assigned
- Nov 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | CI1013621 | OH | Primary |
Addresses
Primary practice location
6281 Tri Ridge Blvd
Loveland, OH 45140
Mailing address
6281 Tri Ridge BLCD
Loveland, OH 45140
Phone (513) 791-5766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI1013621 | Other | OH | EDUCATOR STATE ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI1013621 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1396287223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6281 TRI RIDGE BLCD",
"city": "LOVELAND",
"state": "OH",
"postal_code": "45140",
"telephone_number": "513-791-5766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6281 TRI RIDGE BLVD",
"city": "LOVELAND",
"state": "OH",
"postal_code": "45140",
"telephone_number": "513-791-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDHAUSEN",
"first_name": "BEVERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "CI1013621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATOR STATE ID",
"identifier": "CI1013621",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.