Active NPI
Sudhir Dubey, PSYD
- Clinical Psychologist
- Columbus, OH
National Provider Identifier
1609835768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4863
- Practice address
- 4612 Sawmill Rd
Columbus, OH 43220-2247 - Phone
- (614) 568-7101
- Fax
- (614) 568-7103
- NPI assigned
- Mar 18, 2006
- Last updated
- Nov 30, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4863 | OH | Primary |
Addresses
Primary practice location
4612 Sawmill Rd
Columbus, OH 43220-2247
Mailing address
4612 Sawmill Rd
Columbus, OH 43220-2247
Phone (614) 568-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076630 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4863 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Addiction Services, LLC | Current | Accepting new patients | |
| Arlington Injury Management LLC | Current | Accepting new patients | |
| Buckeye Clinic | Past | Accepting new patients | |
| Advanced Injury Management | Clinical | Past | Accepting new patients |
| Linda Brashear MD, Inc. | Past | Accepting new patients |
Locations
4612 Sawmill Rd
Columbus, OH 43220
Phone (614) 327-4338
484 S Miller Rd
Ste 201
Fairlawn, OH 44333
Phone (330) 835-4545
2816 W 1st St
Springfield, OH 45504
Phone (937) 322-8977
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Internal Medicine Physician
- Springfield, OH
- NPI 1073971453
-
- Clinical Psychologist
- Powell, OH
- NPI 1447389465
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1366029415
-
- Internal Medicine Physician
- Fairlawn, OH
- NPI 1598968174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1609835768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4612 SAWMILL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202247",
"telephone_number": "614-568-7101",
"fax_number": "614-568-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4612 SAWMILL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202247",
"telephone_number": "614-568-7101",
"fax_number": "614-568-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBEY",
"first_name": "SUDHIR",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-18",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "4863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076630",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.