Square North Practice LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6910 Issued in OH

Legal business name

SQUARE NORTH PRACTICE LLC

Practice address

126 N Main St
Bryan, OH 43506-1316

Phone

(419) 630-5430

Fax

(419) 754-2215

NPI assigned

Mar 29, 2018

Last updated

Oct 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judith Ann Guess, PHDNPI 1982964482

Title

Sole Member/Owner

Phone

(419) 630-5430

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Guess Psychological Services Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith Ann Guess, PH.D.

  • Clinical Psychologist
  • Bryan, OH
  • NPI 1982964482
  NPD Authorized official

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1720583776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N MAIN ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061316",
            "telephone_number": "419-630-5430",
            "fax_number": "419-754-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N MAIN ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061316",
            "telephone_number": "419-630-5430",
            "fax_number": "419-754-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE NORTH PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "GUESS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "419-630-5430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065271",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guess Psychological Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Guess Psychological Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amanda Mallory Slough, LISW-S, MSW
• Stacy L Snyder
• Jennifer Spangler, LMT
• Jordan Spiess, OD
• Shannon Sprague, LMT
• Hardev S Sroa, MD
• Marvin D Stalter, MD
• Katherine L. Stantz, PTA
• Roberta Stark, NP
• Stefanie Ann Rockey/Rockey Counseling Services LLC.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.