Organization Active NPI

Glenn a Feltz & Kent a Eichenauer PTRS

Doing business as Delta Psychology Center

  • Clinical Psychologist
  • Urbana, OH
National Provider Identifier
1750443529
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GLENN A FELTZ & KENT A EICHENAUER PTRS
Doing business as
Delta Psychology Center
Practice address
430 S Main St
Urbana, OH 43078-2402
Phone
(937) 652-1474
Fax
(937) 652-4700
NPI assigned
Dec 15, 2006
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. Kent Alan Eichenauer, PSYD
Title
Partner
Phone
(937) 652-1474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

430 S Main St
Urbana, OH 43078-2402

Mailing address

430 S Main St
Urbana, OH 43078-2402
Phone (937) 652-1474

Other names 1

  • Delta Psychology Center Doing business as

National Provider Directory

National Provider Directory

Locations

43 W McCreight Ave
Springfield, OH 45504
Phone (937) 652-1474

430 S Main St
Urbana, OH 43078
Phone (937) 206-6502

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1750443529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S MAIN ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782402",
            "telephone_number": "937-652-1474",
            "fax_number": "937-652-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MAIN ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782402",
            "telephone_number": "937-652-1474",
            "fax_number": "937-652-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN A FELTZ & KENT A EICHENAUER PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "EICHENAUER",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "937-652-1474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Psychology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.