Active NPI
Deanna G Juin, ED.S., NCSP
- School Psychologist
- Sugarcreek Township, OH
National Provider Identifier
1407582737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 4236 Gerbera LN Apt a
Sugarcreek Township, OH 45459-7157 - Phone
- (217) 722-0768
- NPI assigned
- Jul 28, 2022
- 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 | OH | Primary |
Addresses
Primary practice location
4236 Gerbera LN Apt a
Sugarcreek Township, OH 45459-7157
Mailing address
4236 Gerbera LN Apt a
Sugarcreek Township, OH 45459-7157
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1407582737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4236 GERBERA LN APT A",
"city": "SUGARCREEK TOWNSHIP",
"state": "OH",
"postal_code": "454597157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4236 GERBERA LN APT A",
"city": "SUGARCREEK TOWNSHIP",
"state": "OH",
"postal_code": "454597157",
"telephone_number": "217-722-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUIN",
"first_name": "DEANNA",
"middle_name": "G",
"credential": "ED.S., NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugarcreek Township, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.