Active NPI
Allison Nettle, ED.S.
- Psychologist
- Barberton, OH
National Provider Identifier
1669886735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SP146
- Practice address
- 477 4TH St. NW
Barberton, OH 44203 - Phone
- (330) 745-9950
- Fax
- (330) 745-9963
- NPI assigned
- Jun 17, 2014
- Sex
- Female
- 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 | SP146 | OH | Primary |
Addresses
Primary practice location
477 4TH St. NW
Barberton, OH 44203
Mailing address
479 Norton Ave.
Barberton, OH 44203
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 |
|---|---|---|---|
| SP146 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barberton City School District | 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.
-
- Local Education Agency (LEA)
- Barberton, OH
- NPI 1518169465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1669886735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "479 NORTON AVE.",
"city": "BARBERTON",
"state": "OH",
"postal_code": "44203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 4TH ST. NW",
"city": "BARBERTON",
"state": "OH",
"postal_code": "44203",
"telephone_number": "330-745-9950",
"fax_number": "330-745-9963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETTLE",
"first_name": "ALLISON",
"name_prefix": "Mrs.",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "SP146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barberton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.