Organization Active NPI

Phyllis Kuehnl PHD & Assoc. Inc.

  • Clinical Psychologist
  • Springboro, OH
National Provider Identifier
1528065232
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1966 Issued in OH
Legal business name
PHYLLIS KUEHNL PHD & ASSOC. INC.
Practice address
14 Remick Blvd
Ste 204
Springboro, OH 45066-9168
Phone
(937) 886-9080
Fax
(937) 436-9408
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Phyllis Rose Kuehnl-Walters, PHD
Title
President/Owner
Phone
(937) 886-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1966 OH Primary

Addresses

Primary practice location

14 Remick Blvd
Ste 204
Springboro, OH 45066-9168

Mailing address

14 Remick Blvd
Ste 204
Springboro, OH 45066-9168
Phone (937) 886-9080

National Provider Directory

National Provider Directory

Locations

14 Remick Blvd
Ste 204
Springboro, OH 45066
Phone (937) 454-0092

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528065232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 REMICK BLVD",
            "address_2": "STE 204",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669168",
            "telephone_number": "937-886-9080",
            "fax_number": "937-436-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 REMICK BLVD",
            "address_2": "STE 204",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669168",
            "telephone_number": "937-886-9080",
            "fax_number": "937-436-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS KUEHNL PHD & ASSOC. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUEHNL-WALTERS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "937-886-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "1966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

  • 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.