Molly Depew

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

21597246 Issued in OH

Practice address

151 Frost Parkway
Tiffin, OH 44883

Phone

(567) 207-7226

NPI assigned

Nov 18, 2022

Last updated

Nov 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1699484501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 FROST PARKWAY",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "44883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 FROST PARKWAY",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "44883",
            "telephone_number": "567-207-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPEW",
        "first_name": "MOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "21597246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21597246",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "molly_depew@tiffincityschools.org",
            "affiliation": "N",
            "address_1": "151 Frost Parkway",
            "city": "Tiffin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brady Decker, FNP-C
• Sean Darrell Degerstrom, ATC, CSCS
• Kelly Nicole Delisi, CCC-SLP
• Aniya Kennedi Demonte
• Makayla Rose Demoss, LPCC
• Tyson Depinet
• Ajitkumar M Desai, MD
• Deuce Co
• Alyssa Devor, PT, DPT
• Brooke Devore

• School Psychologist in Tiffin, OH
• Providers in Tiffin, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.