Joan M Tietjen PHD LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JOAN M TIETJEN PHD LTD

Practice address

3001 Bethel Rd
Suite 207
Columbus, OH 43220-2285

Phone

(614) 459-4822

Fax

(614) 459-4823

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joan Marie Tietjen, PHD

Title

Dr.

Phone

(614) 459-4822

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1407035454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 BETHEL RD",
            "address_2": "SUITE 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202285",
            "telephone_number": "614-459-4822",
            "fax_number": "614-459-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BETHEL RD",
            "address_2": "SUITE 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202285",
            "telephone_number": "614-459-4822",
            "fax_number": "614-459-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN M TIETJEN PHD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "TIETJEN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "614-459-4822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.