Active NPI
Kelly Mumbach
- School Psychologist
- Liberty TWP, OH
National Provider Identifier
1447162672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 03249
- Practice address
- 6475 Lesourdsville West Chester Rd
Liberty TWP, OH 45011-8455 - Phone
- (513) 644-1150
- NPI assigned
- Sep 22, 2026
- 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 | 03249 | OH | Primary |
Addresses
Primary practice location
6475 Lesourdsville West Chester Rd
Liberty TWP, OH 45011-8455
Mailing address
6475 Lesourdsville West Chester Rd
Liberty TWP, OH 45011-8455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1447162672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6475 LESOURDSVILLE WEST CHESTER RD",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450118455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6475 LESOURDSVILLE WEST CHESTER RD",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450118455",
"telephone_number": "513-644-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUMBACH",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "03249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.