Active NPI
Samuel Dang
- School Psychologist
- Reynoldsburg, OH
National Provider Identifier
1629984067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- LSP.01934
- Practice address
- 8579 Summit Rd
Reynoldsburg, OH 43068-1411 - Phone
- (614) 501-2300
- NPI assigned
- Aug 24, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LSP.01934 | OH | Primary |
Addresses
Primary practice location
8579 Summit Rd
Reynoldsburg, OH 43068-1411
Mailing address
1199 N Broadway St Apt 264
Carrollton, TX 75006-0016
Phone (330) 232-2728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1629984067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1199 N BROADWAY ST APT 264",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750060016",
"telephone_number": "330-232-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8579 SUMMIT RD",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430681411",
"telephone_number": "614-501-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "SAMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "LSP.01934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.