Active NPI
Troy Becker, PSYD
- Psychologist
- Columbus, OH
National Provider Identifier
1689235202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P.07900
- Practice address
- 8001 Ravines Edge CT Ste 201
Columbus, OH 43235-5423 - Phone
- (614) 896-8222
- Fax
- (614) 896-8223
- NPI assigned
- Jun 25, 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.07900 | OH | Primary |
Addresses
Primary practice location
8001 Ravines Edge CT Ste 201
Columbus, OH 43235-5423
Mailing address
8001 Ravines Edge CT Ste 201
Columbus, OH 43235-5423
Phone (614) 896-8222
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P.07900 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Program P C | Current | Accepting new patients |
Locations
2265 Como Ave
Saint Paul, MN 55108
8001 Ravines Edge Ct
Columbus, OH 43235
Phone (614) 896-8270
8001 Ravines Edge Ct
Ste 201
Columbus, OH 43235
Phone (614) 896-8222
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1528165065
OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1689235202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 RAVINES EDGE CT STE 201",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432355423",
"telephone_number": "614-896-8222",
"fax_number": "614-896-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 RAVINES EDGE CT STE 201",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432355423",
"telephone_number": "614-896-8222",
"fax_number": "614-896-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "TROY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-25",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "P.07900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.