Organization Active NPI

Joseph P Decola, PH.D., LLC

  • Clinical Psychologist
  • Worthington, OH
National Provider Identifier
1487832333
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5678 Issued in OH
Legal business name
JOSEPH P DECOLA, PH.D., LLC
Practice address
6797 N High St
Suite 214
Worthington, OH 43085-2533
Phone
(614) 407-5776
Fax
(614) 436-4830
NPI assigned
Feb 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Dr. Joseph Philip Decola, PH.D.
Title
Owner & Psychologist
Phone
(614) 407-5776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 5678 OH Primary

Addresses

Primary practice location

6797 N High St
Suite 214
Worthington, OH 43085-2533

Mailing address

6797 N High St
Suite 214
Worthington, OH 43085-2533
Phone (614) 407-5776

National Provider Directory

National Provider Directory

Locations

659 High St
Ste 202
Worthington, OH 43085
Phone (614) 436-5030

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1487832333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6797 N HIGH ST",
            "address_2": "SUITE 214",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852533",
            "telephone_number": "614-407-5776",
            "fax_number": "614-436-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6797 N HIGH ST",
            "address_2": "SUITE 214",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852533",
            "telephone_number": "614-407-5776",
            "fax_number": "614-436-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH P DECOLA, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-02",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "DECOLA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER & PSYCHOLOGIST",
        "authorized_official_telephone_number": "614-407-5776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.