Active NPI
Therese Chiara Czup, PH.D.
- School Psychologist
- Miamisburg, OH
National Provider Identifier
1699248625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- KU1036633
- Practice address
- 10050 Innovation Dr Ste 320
Miamisburg, OH 45342-4933 - Phone
- (440) 666-7985
- NPI assigned
- Jan 2, 2019
- Last updated
- Jan 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | KU1036633 | OH | Primary |
Addresses
Primary practice location
10050 Innovation Dr Ste 320
Miamisburg, OH 45342-4933
Mailing address
109 Pin Oak PL
Delaware, OH 43015-3672
Phone (440) 666-7985
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KU1036633 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1699248625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 PIN OAK PL",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430153672",
"telephone_number": "440-666-7985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 INNOVATION DR STE 320",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453424933",
"telephone_number": "440-666-7985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZUP",
"first_name": "THERESE",
"middle_name": "CHIARA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-02",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "KU1036633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miamisburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.