Active NPI
Andrew A Garrison, PH.D.
- Clinical Psychologist
- Dublin, OH
National Provider Identifier
1487667697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3765
- Practice address
- 6465 Reflections Dr
Suite 110
Dublin, OH 43017-2355 - Phone
- (614) 792-1108
- Fax
- (614) 792-0018
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3765 | OH | Primary |
Addresses
Primary practice location
6465 Reflections Dr
Suite 110
Dublin, OH 43017-2355
Mailing address
5308 Hillcrest Dr
Oxford, OH 45056-1438
Phone (513) 523-1061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003638 | 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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3765 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487667697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5308 HILLCREST DR",
"city": "OXFORD",
"state": "OH",
"postal_code": "450561438",
"telephone_number": "513-523-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6465 REFLECTIONS DR",
"address_2": "SUITE 110",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172355",
"telephone_number": "614-792-1108",
"fax_number": "614-792-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "ANDREW",
"middle_name": "A",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "3765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2003638",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.