Individual provider Active NPI

Joshua Dale Sensenbaugh, PSYD

  • Clinical Psychologist
  • Beavercreek, OH
National Provider Identifier
1639685894
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P.08498 Issued in OH
Practice address
2601 Commons Blvd Ste 110
Beavercreek, OH 45431-3830
Phone
(937) 294-6004
Fax
(937) 294-9053
NPI assigned
Dec 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X P.08498 OH Primary

Addresses

Primary practice location

2601 Commons Blvd Ste 110
Beavercreek, OH 45431-3830

Mailing address

2273 Vireo Dr
Fairborn, OH 45324-6453
Phone (937) 813-9867

Other practice location 1

117 Health Sciences Bldg 3640 Colonel Glenn Hwy
Dayton, OH 45435-0001
Phone (937) 775-3458

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P.08498OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marisa Borgert, Psy.D., LLC Clinical PastSince Aug 6, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1639685894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 VIREO DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246453",
            "telephone_number": "937-813-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 COMMONS BLVD STE 110",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313830",
            "telephone_number": "937-294-6004",
            "fax_number": "937-294-9053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Health Sciences Bldg 3640 Colonel Glenn Hwy",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454350001",
            "country_code": "US",
            "telephone_number": "937-775-3458",
            "fax_number": "937-775-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENSENBAUGH",
        "first_name": "JOSHUA",
        "middle_name": "DALE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-22",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.08498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.