Active NPI
Jillian Purdy
- School Psychologist
- Dayton, OH
National Provider Identifier
1740028232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- OH3204614
- Practice address
- 251 Erdiel Dr
Dayton, OH 45415-3632 - Phone
- (937) 813-8592
- NPI assigned
- Jul 18, 2024
- Sex
- Female
- Sole proprietor
- No
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 | OH3204614 | OH | Primary |
Addresses
Primary practice location
251 Erdiel Dr
Dayton, OH 45415-3632
Mailing address
224 Keelboat CT
Dayton, OH 45402-2551
Phone (419) 296-5938
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH3204614 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1740028232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 KEELBOAT CT",
"city": "DAYTON",
"state": "OH",
"postal_code": "454022551",
"telephone_number": "419-296-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 ERDIEL DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454153632",
"telephone_number": "937-813-8592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "JILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "OH3204614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.