Active NPI
Donald Earl Newberry, PH.D.
- Psychologist
- Pomeroy, OH
National Provider Identifier
1679512537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7409
- Practice address
- 41865 Pomeroy Pike
Pomeroy, OH 45769-9473 - Phone
- (740) 992-0540
- Fax
- (740) 992-0264
- NPI assigned
- Jun 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 336 | ND | |
| Psychologist | 103T00000X | 7409 | OH | Primary |
Addresses
Primary practice location
41865 Pomeroy Pike
Pomeroy, OH 45769-9473
Mailing address
PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018816 | Other | ND | BCBS ND PROVIDER NUMBER |
| 054519 | Medicaid | ND | |
| 69B85NE | Other | MN | BCBS MN PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
90 Hospital Dr
Athens, OH 45701-2301
Phone (740) 592-3091
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336 | ND | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopewell Health Centers Inc | Current | Accepting new patients | |
| Hopewell Health Centers Inc | Current | Accepting new patients | |
| Associates & Inhabilitative Planning | Past | Accepting new patients |
Locations
90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091
1049 Western Ave
Chillicothe, OH 45601
Phone (740) 773-1006
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, OH
- NPI 1699010348
-
- Community/Behavioral Health Agency
- Grafton, ND
- NPI 1942455753
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Belpre, OH
- NPI 1144732348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1679512537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456010188",
"telephone_number": "740-773-4366",
"fax_number": "740-775-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41865 POMEROY PIKE",
"city": "POMEROY",
"state": "OH",
"postal_code": "457699473",
"telephone_number": "740-992-0540",
"fax_number": "740-992-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "DONALD",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ND",
"license": "336",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "7409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ND PROVIDER NUMBER",
"identifier": "018816",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054519",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN PROVIDER NUMBER",
"identifier": "69B85NE",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomeroy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.