Active NPI
Pallaveebahen H Patel
- Health Service Psychologist
- Northfield, OH
National Provider Identifier
1427549138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- Practice address
- 9150A N Plaza Dr
Northfield, OH 44067-1348 - Phone
- (313) 626-8064
- NPI assigned
- May 29, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | Primary |
Addresses
Primary practice location
9150A N Plaza Dr
Northfield, OH 44067-1348
Mailing address
9150A N Plaza Dr
Northfield, OH 44067-1348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022149 | Medicaid | OH |
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": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1427549138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150A N PLAZA DR",
"city": "NORTHFIELD",
"state": "OH",
"postal_code": "440671348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150A N PLAZA DR",
"city": "NORTHFIELD",
"state": "OH",
"postal_code": "440671348",
"telephone_number": "313-626-8064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PALLAVEEBAHEN",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-29",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022149",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.