Active NPI
Kareem Wasim, PSY.D.
- Psychologist
- Chillicothe, OH
National Provider Identifier
1669014916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P.07879
- Practice address
- 16149 Oh-104
Chillicothe, OH 45601 - Phone
- (740) 702-3677
- NPI assigned
- Oct 8, 2019
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | P.07879 | OH | Primary |
Addresses
Primary practice location
16149 Oh-104
Chillicothe, OH 45601
Mailing address
6209 Hutchinson St
Columbus, OH 43085-2897
Phone (740) 702-3677
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
| License | State | Type | Specialty |
|---|---|---|---|
| P.07879 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1669014916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6209 HUTCHINSON ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "430852897",
"telephone_number": "740-702-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16149 OH-104",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "45601",
"telephone_number": "740-702-3677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASIM",
"first_name": "KAREEM",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-08",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "P.07879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.