Active NPI
Luc Lecavalier, PH.D
- Psychologist
- Columbus, OH
National Provider Identifier
1730493537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5877
- Practice address
- 1581 Dodd Dr
305 McCampbell Hall
Columbus, OH 43210-1257 - Phone
- (614) 292-2378
- Fax
- (614) 292-3727
- NPI assigned
- Aug 4, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5877 | OH | Primary |
Addresses
Primary practice location
1581 Dodd Dr
305 McCampbell Hall
Columbus, OH 43210-1257
Mailing address
700 Ackerman Rd
Suite 385
Columbus, OH 43202-1559
Phone (614) 947-3700
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5877 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1730493537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD",
"address_2": "SUITE 385",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-947-3700",
"fax_number": "614-947-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1581 DODD DR",
"address_2": "305 MCCAMPBELL HALL",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101257",
"telephone_number": "614-292-2378",
"fax_number": "614-292-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECAVALIER",
"first_name": "LUC",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-04",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.