Angela Pachana, PSY.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SP00686 Issued in OH

Practice address

3753 Attucks Dr
Powell, OH 43065-6080

Phone

(614) 470-4466

NPI assigned

Jul 28, 2022

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Achieve Psychological and Academic Services LLC

  • School Psychologist
  • Powell, OH
  • NPI 1780286179
  NPD (past)

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": "1417683780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 ANTELOPE WAY APT 2D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354436",
            "telephone_number": "330-591-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 ATTUCKS DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430656080",
            "telephone_number": "614-470-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHANA",
        "first_name": "ANGELA",
        "credential": "PSY.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP00686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15675760",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• School Psychologist in Powell, OH
• Providers in Powell, OH by specialty
• School Psychologist in Ohio

• 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.

Verify at the official NPI Registry.