John Andrew Comley, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4897 Issued in OH

Practice address

2098 Portage Rd
Suite 175
Wooster, OH 44691-1970

Phone

(330) 264-1999

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychology Consultants Inc

  • Clinical Social Worker
  • Medina, OH
  • NPI 1205882941
  NPD (past)
• Senior Psychological Services, Inc.

  • Clinical Psychologist
  • Uniontown, OH
  • NPI 1720174956
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487775946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 PORTAGE RD",
            "address_2": "SUITE 175",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911970",
            "telephone_number": "330-264-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 PORTAGE RD",
            "address_2": "SUITE 175",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911970",
            "telephone_number": "330-264-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMLEY",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189040",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Collins
• Carolyn S. Collins, LSW
• Summer Marie Collins, LSW
• Tiffany E Collins, QMHS-B
• Edward W Colvin Jr., D.C.
• Community Action Wayne/Medina
• Community Health Network LTD
• Community Nephrology Services, Inc.
• Complete Chiropractic Life Center
• Comprehensive Internal Medicine, Inc

• Clinical Psychologist in Wooster, OH
• Providers in Wooster, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.