Sandra S Phalen, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3825 Issued in OH

Practice address

348 Granville St Ste B
Gahanna, OH 43230-2926

Phone

(614) 475-7462

Fax

(614) 475-4758

NPI assigned

Mar 23, 2006

Last updated

Apr 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Daniel L Phalen PHD Inc

  • Psychologist
  • Columbus, OH
  • NPI 1801855226
  NPD

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1619936036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 GRANVILLE STREET",
            "address_2": "SUITE G",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302993",
            "telephone_number": "614-475-7462",
            "fax_number": "614-475-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 GRANVILLE ST STE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302926",
            "telephone_number": "614-475-7462",
            "fax_number": "614-475-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHALEN",
        "first_name": "SANDRA",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0648919",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy E Perry, LPN
• Kendra Marie Peterson
• Benita M Petri Pickstone, MD
• Edward Bradley Pewitt, M.D.
• Kimberly Peyton-Snowden
• Amanda Pham
• Philemon Home Health Care LLC
• Alicia Philip, NP-C
• Physical Therapy Specialists of Ohio LLC (Ability Chiropractic Gahanna)
• Physiotherapy Associates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.