Active NPI
Glenn a Feltz & Kent a Eichenauer PTRS
Doing business as Delta Psychology Center
- Clinical Psychologist
- Urbana, OH
National Provider Identifier
1750443529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.