Kelli Sears, PHD

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SP592 Issued in OH

Practice address

1241 Hill Rd N
Pickerington, OH 43147-7989

Phone

(614) 604-6067

Fax

(614) 604-6529

NPI assigned

Aug 1, 2013

Last updated

Jul 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1659703676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477989",
            "telephone_number": "614-604-6067",
            "fax_number": "614-604-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477989",
            "telephone_number": "614-604-6067",
            "fax_number": "614-604-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "KELLI",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0373157",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Charisse Schuerman, APRN-CNM
• Dale Schultz, RPH
• Jacob Schultz
• Alicia Scruggs, RN
• Terrence Christopher Sealey Jr.
• Robert E Sears, MD
• Seeking Serenity LLC.
• Samantha Selegue
• Madeline Marie Selhorst, OTR/L
• Matthew B Sellers, DPT

• School Psychologist in Pickerington, OH
• Providers in Pickerington, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.