Active NPI
Flexman Myers Clinic LLC
- Psychologist
- Moraine, OH
National Provider Identifier
1457754863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6105
- Legal business name
- FLEXMAN MYERS CLINIC LLC
- Practice address
- 2621 Dryden Rd Ste 202
Moraine, OH 45439-1600 - Phone
- (937) 256-5300
- Fax
- (937) 258-4162
- NPI assigned
- Sep 29, 2014
- Last updated
- Apr 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Katherine A. Myers, PSY.D.
- Title
- President
- Phone
- (937) 256-5300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6105 | OH | Primary |
Addresses
Primary practice location
2621 Dryden Rd Ste 202
Moraine, OH 45439-1600
Mailing address
2621 Dryden Rd Ste 202
Moraine, OH 45439-1600
Phone (937) 256-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2621 Dryden Rd
Ste 202
Moraine, OH 45439
Phone (937) 256-2300
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Dayton, OH
- NPI 1942256847
-
- Clinical Neuropsychologist
- Dayton, OH
- NPI 1649237553
-
- Mental Health Counselor
- Dayton, OH
- NPI 1659566164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713484800000",
"number": "1457754863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 DRYDEN RD STE 202",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391600",
"telephone_number": "937-256-5300",
"fax_number": "937-258-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 DRYDEN RD STE 202",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391600",
"telephone_number": "937-256-5300",
"fax_number": "937-258-4162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLEXMAN MYERS CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-29",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-256-5300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "OH",
"license": "6105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.