John M Showalter, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

897 Issued in OH

Practice address

1971 W 5TH Ave
Suite 2
Columbus, OH 43212-1905

Phone

(614) 748-8628

Fax

(614) 488-9592

NPI assigned

Oct 19, 2005

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

Practice roles

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Brickey, PH D

  • Clinical Psychologist
  • Columbus, OH
  • NPI 1386694032
  Medicare reassignment
• Ashley Lowe, LMSW

  • Social Worker
  • Halethorpe, MD
  • NPI 1346803137

  OH

  Medicare reassignment

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.

• John M. Showalter Dba Consulting Psychological Services

  • Clinical Psychologist
  • Columbus, OH
  • NPI 1811926512
  NPD (past) Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1720077027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 W 5TH AVE",
            "address_2": "SUITE 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432121905",
            "telephone_number": "614-488-6285",
            "fax_number": "614-488-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 W 5TH AVE",
            "address_2": "SUITE 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432121905",
            "telephone_number": "614-748-8628",
            "fax_number": "614-488-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWALTER",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250900",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damon C Shoultz
• Kristy Shoup
• Rylee Ann Shoup
• Kelli Shoupe
• Ayla J Show
• Joseph Bernard Showalter
• Seth Showalter, LSW
• Pamela Anne Showman, DPT
• Caprina Nevik Shows
• Noam Shpancer, PH.D.

• Clinical Psychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.

Verify at the official NPI Registry.