Denise Ben Porath, PHD
Individual provider Active NPI Clinical Psychologist · Copley, OH
NPI 1629208665 · NPPES record last updated May 11, 2025
Key facts
- NPI
- 1629208665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 5353 (OH)
- Practice address
- PO Box 14810
Copley, OH 44321-4810 - Phone
- (330) 618-6206
- NPI assigned
- Jul 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5353 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5353 | OH | Yes |
Addresses
Primary practice location
PO Box 14810
Copley, OH 44321-4810
Mailing address
PO Box 14810
Copley, OH 44321-4810
Phone (330) 618-6206
Other providers in Copley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.