Dr. Nicole L. Blust, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6309 Issued in OH

Legal business name

DR. NICOLE L. BLUST, LLC

Practice address

7755 Paragon Rd
Suite 102
Dayton, OH 45459-4055

Phone

(937) 567-7800

Fax

(937) 567-7808

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nicole L Blust, PSY.D.

Title

Psychologist

Phone

(513) 313-9412

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dianna S Miller, PSY.D.

  • Clinical Psychologist
  • Wright-Patterson Afb, OH
  • NPI 1760501316
  NPD (past)
• Dennis Evan O'Grady, PSY.D.

  • Psychologist
  • Dayton, OH
  • NPI 1811005879
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1578765400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 PARAGON RD",
            "address_2": "SUITE 102",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594055",
            "telephone_number": "937-567-7800",
            "fax_number": "937-567-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 PARAGON RD",
            "address_2": "SUITE 102",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594055",
            "telephone_number": "937-567-7800",
            "fax_number": "937-567-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NICOLE L. BLUST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "BLUST",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "513-313-9412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rowan Doyle, DMD
• Lori Dozer
• Dr Goel & Associates
• Dr Rose & Ward MD Inc
• Dr. James W. Moenter, Inc
• Melissa Kay Drago
• Dragonfly Therapy
• Jill Draime, PSYD
• Natalie Aretha Drake Boykin
• Amanda L Drake

• Psychologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.