Active NPI
Michelle Spader-Cloud, PSYD, BCBA-D
- Clinical Psychologist
- Westerville, OH
National Provider Identifier
1558794545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6516
- Practice address
- 6260 S Sunbury Rd
Suite 5
Westerville, OH 43081-9002 - Phone
- (937) 776-9387
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6516 | OH | |
| Clinical Psychologist | 103TC0700X | 6516 | OH | Primary |
Addresses
Primary practice location
6260 S Sunbury Rd
Suite 5
Westerville, OH 43081-9002
Mailing address
6260 S Sunbury Rd Ste 5
Westerville, OH 43081-9003
Phone (614) 852-4152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972952463 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6516 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Spader, PSYD, Bcba-D, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Child & Adolescent Psychologist
- Westerville, OH
- NPI 1972952463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1558794545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6260 S SUNBURY RD STE 5",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430819003",
"telephone_number": "614-852-4152",
"fax_number": "614-852-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6260 S SUNBURY RD",
"address_2": "SUITE 5",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430819002",
"telephone_number": "937-776-9387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPADER-CLOUD",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PSYD, BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2022-02-23",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "6516",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972952463",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.