Individual provider Active NPI

Brenda Barnes Tousley, MS

  • School Psychologist
  • Ravenna, OH
National Provider Identifier
1598770257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SP309 Issued in OH
Practice address
2500 Brady Lake Rd
Ravenna, OH 44266-1610
Phone
(330) 678-2400
Fax
(330) 673-3714
NPI assigned
Jul 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SP309 OH Primary

Addresses

Primary practice location

2500 Brady Lake Rd
Ravenna, OH 44266-1610

Mailing address

357 Wyoga Lake Blvd
Cuyahoga Falls, OH 44224-1140
Phone (330) 678-2400

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP309OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598770257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 WYOGA LAKE BLVD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442241140",
            "telephone_number": "330-678-2400",
            "fax_number": "330-673-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BRADY LAKE RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661610",
            "telephone_number": "330-678-2400",
            "fax_number": "330-673-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUSLEY",
        "first_name": "BRENDA",
        "middle_name": "BARNES",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.