Individual provider Active NPI

Mary Ann Kamphaus, PHD

  • School Psychologist
  • West Union, OH
National Provider Identifier
1740687557
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
20805364 Issued in OH
Practice address
141 Lloyd Rd
West Union, OH 45693-8974
Phone
(937) 544-6079
Fax
(937) 544-3720
NPI assigned
Nov 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 20805364 OH Primary

Addresses

Primary practice location

141 Lloyd Rd
West Union, OH 45693-8974

Mailing address

5221 Caleb Hill Rd
Hillsboro, OH 45133-8861
Phone (937) 393-8550

Other names 1

  • Dr. Mary Ann Kamphaus-Hayes Other name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20805364OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County/Ohio Valley School District Past Accepting new patients
Adams County Ohio Valley School District Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1740687557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 CALEB HILL RD",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338861",
            "telephone_number": "937-393-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LLOYD RD",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456938974",
            "telephone_number": "937-544-6079",
            "fax_number": "937-544-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPHAUS",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "20805364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KAMPHAUS-HAYES",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Union, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.