David J Coleman, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4072 Issued in OH

Practice address

822 Portage TRL
Cuyahoga Falls, OH 44221-3053

Phone

(330) 923-9344

Fax

(866) 248-1103

NPI assigned

Oct 7, 2005

Last updated

Jun 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• 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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cfpa LLC

  dba Child & Family Psychological Associates

  • Psychologist
  • Cuyahoga Falls, OH
  • NPI 1780987461
  Medicare reassignment NPD Authorized official
• Bha LLC

  dba Behavioral Health Assessments

  • Psychologist
  • Cuyahoga Falls, OH
  • NPI 1548959646
  NPD Authorized official
• Child & Family Psychological Associates

  • Psychologist
  • Cuyahoga Falls, OH
  • NPI 1619141272
  NPD (past) Authorized official
• Child and Adolescent Behavioral Health

  • Addiction (Substance Use Disorder) Counselor
  • Canton, OH
  • NPI 1821577131
  NPD (past)
• Universal Medical Administration

  • Podiatrist
  • Cleveland, OH
  • NPI 1669412201
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1750379384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213053",
            "telephone_number": "330-923-9344",
            "fax_number": "866-248-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213053",
            "telephone_number": "330-923-9344",
            "fax_number": "866-248-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4072",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "4072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0750647",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christina Loree Cohn
• James Merrell Colley, D.C.
• Paul R Combs, CRNA
• Shireen Comeriato
• Compassion Inc., Pain and Palliative SVCS. (East Avenue Family Practice)
• Comprehensive Wound Care Consultants LLC

• Psychologist in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.