M Rebecca Bode, PH.D.
Individual provider Active NPI School Psychologist · Novelty, OH
NPI 1649308248 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1649308248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 4330 (OH)
- Practice address
- 9002 Fairmount Rd
Novelty, OH 44072-9777 - Phone
- (440) 338-1538
- Fax
- (440) 338-1538
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4330 | OH | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4330 | OH | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 4330 | OH | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 4330 | OH | |
| Exercise & Sports Psychologist | 103TE1100X | 4330 | OH | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 4330 | OH | |
| School Psychologist | 103TS0200X | 4330 | OH | Yes |
Addresses
Primary practice location
9002 Fairmount Rd
Novelty, OH 44072-9777
Mailing address
9002 Fairmount Rd
Novelty, OH 44072-9777
Phone (440) 338-1538
Other providers in Novelty, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.