Individual provider Active NPI

Thomas Rode

  • School Psychologist
  • Maple Heights, OH
National Provider Identifier
1407256456
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
20694639 Issued in OH
Practice address
6009 Dunham Rd
Maple Heights, OH 44137-4468
Phone
(216) 438-6030
Fax
(216) 587-4376
NPI assigned
Aug 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 20694639 OH Primary

Addresses

Primary practice location

6009 Dunham Rd
Maple Heights, OH 44137-4468

Mailing address

6009 Dunham Rd
Maple Heights, OH 44137-4468
Phone (216) 438-6030

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

LicenseStateTypeSpecialty
20694639OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1407256456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 DUNHAM RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374468",
            "telephone_number": "216-438-6030",
            "fax_number": "216-587-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 DUNHAM RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374468",
            "telephone_number": "216-438-6030",
            "fax_number": "216-587-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODE",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "20694639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.