Active NPI
Patricia Jubran
- School Psychologist
- Mount Vernon, OH
National Provider Identifier
1609500024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 602 Wooster Rd
Mount Vernon, OH 43050-1433 - Phone
- (509) 205-7823
- NPI assigned
- Jul 12, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
602 Wooster Rd
Mount Vernon, OH 43050-1433
Mailing address
602 Wooster Rd
Mount Vernon, OH 43050-1433
Other names 1
- Patricia Wahler
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1609500024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 WOOSTER RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 WOOSTER RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501433",
"telephone_number": "509-205-7823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUBRAN",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "WAHLER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.