Active NPI
Claire Susan Dean, PSYD
- Clinical Psychologist
- Blue Ash, OH
National Provider Identifier
1467448720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6827
- Practice address
- 4500 Cooper Rd Ste 303
Blue Ash, OH 45242-5600 - Phone
- (513) 940-7175
- Fax
- (513) 940-7176
- NPI assigned
- Sep 22, 2005
- Last updated
- Oct 26, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20042031A | IN | |
| Clinical Psychologist | 103TC0700X | 6827 | OH | Primary |
Addresses
Primary practice location
4500 Cooper Rd Ste 303
Blue Ash, OH 45242-5600
Mailing address
4500 Cooper Rd Ste 303
Blue Ash, OH 45242-5600
Phone (513) 940-7175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11500907 | Other | CAQH |
Other names 1
- Claire S Wittels
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042031A | IN | MD | Clinical Psychologist |
| 6827 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Child & Adolescent Psychologist
- Cincinnati, OH
- NPI 1811175912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1467448720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 COOPER RD STE 303",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452425600",
"telephone_number": "513-940-7175",
"fax_number": "513-940-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 COOPER RD STE 303",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452425600",
"telephone_number": "513-940-7175",
"fax_number": "513-940-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "CLAIRE",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042031A",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11500907",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CLAIRE",
"last_name": "WITTELS",
"middle_name": "S",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.