Northern Ohio Psychological Services, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5908 Issued in OH

Legal business name

NORTHERN OHIO PSYCHOLOGICAL SERVICES, INC.

Practice address

1717 E Perkins Ave
Sandusky, OH 44870-7919

Phone

(419) 624-1277

Fax

(419) 624-1274

NPI assigned

Jun 30, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shealynne Anne Baus, PSY.D.

Title

Owner/Clinical Child Psychologist

Phone

(419) 624-1277

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Marlene P Boas, PH.D., LPCC

  • Mental Health Counselor
  • Sandusky, OH
  • NPI 1972671949
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467459842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707919",
            "telephone_number": "419-624-1277",
            "fax_number": "419-624-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707919",
            "telephone_number": "419-624-1277",
            "fax_number": "419-624-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OHIO PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUS",
        "authorized_official_first_name": "SHEALYNNE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/CLINICAL CHILD PSYCHOLOGIST",
        "authorized_official_telephone_number": "419-624-1277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Ohio Medical Specialists, LLC (NOMS Sandusky Imaging)
• Northern Ohio Medical Specialists, LLC (NOMS Urgent Care)
• Northern Ohio Medical Specialists, LLC
• Northern Ohio Medical Specialists, LLC
• Northern Ohio Medical Specialists,LLC
• Northern Ohio Surgical Center
• Amanda Notestine, M.A. CCC-SLP
• Dale Carl Novak I, O.D.
• Christine Annehope Nowak Lange, LPN
• Kristen Nowak, ED.S.

• Psychologist in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.