Individual provider Active NPI

Troy Becker, PSYD

  • Psychologist
  • Columbus, OH
National Provider Identifier
1689235202
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P.07900 Issued in OH
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

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823000077 OH Practitioner - Clinical Psychologist 7810225232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P.07900OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program P C CurrentSince Mar 12, 2021 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.

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

Verify at the official NPI Registry.