Individual provider Active NPI

Michelle Spader-Cloud, PSYD, BCBA-D

  • Clinical Psychologist
  • Westerville, OH
National Provider Identifier
1558794545
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6516 Issued in OH
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

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1972952463MedicaidOH

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

LicenseStateTypeSpecialty
6516OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Spader, PSYD, Bcba-D, LLC Clinical PastSince Feb 27, 2022 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.

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.

Verify at the official NPI Registry.