NPIMap

Organization Active NPI

Ann M. Hetzel

  • Clinical Psychologist
  • Dublin, OH
National Provider Identifier
1619232006
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
E0006439 Issued in OH
Legal business name
ANN M. HETZEL
Practice address
5950 Venture Dr
Dublin, OH 43017-2251
Phone
(614) 799-9022
NPI assigned
Jul 11, 2012
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Ann M Hetzel, PHDNPI 1922327105
Title
Owner
Phone
(614) 799-9022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X E0006439 OH Primary

Addresses

Primary practice location

5950 Venture Dr
Dublin, OH 43017-2251

Mailing address

5950 Venture Dr
Dublin, OH 43017-2251
Phone (614) 799-9022

National Provider Directory

National Provider Directory
Tax ID family
Ann M Hetzel2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1619232006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 VENTURE DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172251",
            "telephone_number": "614-799-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 VENTURE DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172251",
            "telephone_number": "614-799-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN M. HETZEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "HETZEL",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-799-9022",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "E0006439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.