Active NPI
Louis A. Decola Jr., PH.D.
- Psychologist
- Ashtabula, OH
National Provider Identifier
1639389737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4746
- Practice address
- 779 Garrison Rd
Ashtabula, OH 44004-9339 - Phone
- (440) 709-6439
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4746 | OH | Primary |
Addresses
Primary practice location
779 Garrison Rd
Ashtabula, OH 44004-9339
Mailing address
779 Garrison Rd
Ashtabula, OH 44004-9339
Phone (440) 998-4264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4746 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Transitions, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Port Clinton, OH
- NPI 1902914278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1639389737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "779 GARRISON RD",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440049339",
"telephone_number": "440-998-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "779 GARRISON RD",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440049339",
"telephone_number": "440-709-6439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECOLA",
"first_name": "LOUIS",
"middle_name": "A.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.