NPIMap

Organization Active NPI

Piazza-Waggoner Pediatric Psychology and Behavioral Health, LLC

  • Clinical Child & Adolescent Psychologist
  • West Chester, OH
National Provider Identifier
1396287512
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
6218 Issued in OH
Legal business name
PIAZZA-WAGGONER PEDIATRIC PSYCHOLOGY AND BEHAVIORAL HEALTH, LLC
Practice address
7799 Joan Dr
West Chester, OH 45069-3682
Phone
(513) 204-5746
NPI assigned
Nov 7, 2016
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Dr. Carrie Piazza-Waggoner, PH.D.
Title
Manager
Phone
(513) 919-1371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 6218 OH Primary

Addresses

Primary practice location

7799 Joan Dr
West Chester, OH 45069-3682

Mailing address

11708 Laurelview Dr
Montgomery, OH 45249-2710
Phone (513) 919-1371

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1396287512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11708 LAURELVIEW DR",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452492710",
            "telephone_number": "513-919-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7799 JOAN DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693682",
            "telephone_number": "513-204-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIAZZA-WAGGONER PEDIATRIC PSYCHOLOGY AND BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "PIAZZA-WAGGONER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "513-919-1371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "6218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

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

Verify at the official NPI Registry.