Individual provider Active NPI

Emily K Porensky, PHD

  • Clinical Psychologist
  • Columbus, OH
National Provider Identifier
1538417837
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6914 Issued in OH
Practice address
453 W 10TH Ave
246 Atwell Hall
Columbus, OH 43210-2205
Phone
(614) 293-2957
Fax
(614) 688-3700
NPI assigned
Aug 17, 2012
Last updated
Aug 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6914 OH Primary

Addresses

Primary practice location

453 W 10TH Ave
246 Atwell Hall
Columbus, OH 43210-2205

Mailing address

453 W 10TH Ave
246 Atwell Hall
Columbus, OH 43210-2205
Phone (614) 293-2957

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

LicenseStateTypeSpecialty
6914OHMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1538417837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 W 10TH AVE",
            "address_2": "246 ATWELL HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432102205",
            "telephone_number": "614-293-2957",
            "fax_number": "614-688-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 W 10TH AVE",
            "address_2": "246 ATWELL HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432102205",
            "telephone_number": "614-293-2957",
            "fax_number": "614-688-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORENSKY",
        "first_name": "EMILY",
        "middle_name": "K",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.