Kent Eichenauer, PSYD, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KENT EICHENAUER, PSYD, LLC

Practice address

205 E Palmer Rd
Bellefontaine, OH 43311-2281

Phone

(937) 206-6500

NPI assigned

Jan 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kent Alan Eichenauer, PSYD

Title

Owner

Phone

(937) 206-6500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1629783907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430780104",
            "telephone_number": "937-206-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112281",
            "telephone_number": "937-206-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT EICHENAUER, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "EICHENAUER",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-206-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carisa Marie Kaufman, OT
• Scott C Kayatin, DC
• April Keeney
• Amy L Keller, RDLD
• Gary Lee Kelley, PT
• Alisha R Kent, CRNA
• David Marshall Kerns, DPT, CSCS
• Rodney A Kerns, PT
• Valerie Sue Kerns, PT
• Stephanie M Ketchell

• Adult Mental Health Clinic/Center in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.