Andria Leigh Doyle, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6078 Issued in OH

Practice address

210 E Milltown Rd # B
Wooster, OH 44691-1246

Phone

(330) 345-0955

Fax

(330) 345-3420

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andria Leigh Black II Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

West Virginia University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mind Body Health AssociatesGroup PAC ID 3375896806, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Mind Body Health Associates

  • Clinical Social Worker
  • Findlay, OH
  • NPI 1558649475
  Medicare reassignment Care Compare group NPD
• Intentional Life Therapy

  • Clinical Social Worker
  • Bowling Green, OH
  • NPI 1265180285
  NPD (past)
• Sourceone Group Inc

  • Adult Mental Health Clinic/Center
  • Wooster, OH
  • NPI 1447346564
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1568568673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E MILLTOWN RD B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911246",
            "telephone_number": "330-345-0955",
            "fax_number": "330-345-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MILLTOWN RD # B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911246",
            "telephone_number": "330-345-0955",
            "fax_number": "330-345-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "ANDRIA",
        "middle_name": "LEIGH",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRIA",
            "last_name": "BLACK",
            "middle_name": "LEIGH",
            "suffix": "II",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beverly Jean Douglas, LSW
• Jessica L Douglas, LPC
• Shaba Kynta Douglas
• Robyn Downes, LSW
• Erin J Downs
• Dr. Anne Shriner Inc.
• Dr. R.L. Rambaud and Associates, LLC
• Wendy R. Dragon, PH.D.
• Rebekah Dragus
• Beth Michelle Draman, P.C.

• Clinical Psychologist in Wooster, OH
• Providers in Wooster, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.