Kent Alan Eichenauer, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4151 Issued in OH

Practice address

205 Palmer Ave
Bellefontaine, OH 43311

Phone

(937) 206-6500

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glenn a Feltz & Kent a Eichenauer PTRS

  • Clinical Psychologist
  • Urbana, OH
  • NPI 1467723031
  NPD Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1396807434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430780104",
            "telephone_number": "937-206-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PALMER AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "43311",
            "telephone_number": "937-206-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 N Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431232546",
            "country_code": "US",
            "telephone_number": "937-206-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "247 S Burnett Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455052639",
            "country_code": "US",
            "telephone_number": "937-206-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 N Cleveland Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828390",
            "country_code": "US",
            "telephone_number": "937-206-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Taylor Station Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131157",
            "country_code": "US",
            "telephone_number": "937-206-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EICHENAUER",
        "first_name": "KENT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "113445",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "3416952163A12",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0783657",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynne Duboise, M.A.
• Janet C Dunn, MD
• Erin N Dye, LISW-S
• Kelley Dawn Dyer, CNM
• Emily Ann Edwards
• Elan Home Health & Staffing Services, LLC
• Stacy Eldridge, FNP
• Elevate Chiropractic
• Frederick Ford Elkins, DC
• Erica L Elsasser, M.S.

• Clinical Psychologist in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.