NPIMap

Organization Active NPI

Dr. Paul a. Deardorff, Inc

Doing business as ForPsych

  • Psychologist
  • Norwood, OH
National Provider Identifier
1750704979
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6165 Issued in OH
Legal business name
DR. PAUL A. DEARDORFF, INC
Doing business as
ForPsych
Practice address
4217 Smith Rd
Norwood, OH 45212-4107
Phone
(513) 871-7285
NPI assigned
Jan 23, 2014
Last updated
Jan 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Nicole LeisgangNPI 1043756257
Title
Associate Director
Phone
(513) 871-7285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6165 OH Primary

Addresses

Primary practice location

4217 Smith Rd
Norwood, OH 45212-4107

Mailing address

4217 Smith Rd
Norwood, OH 45212-4107
Phone (513) 871-7285

Other names 1

  • ForPsych Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Paul a Deardorff Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1750704979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 SMITH RD",
            "city": "NORWOOD",
            "state": "OH",
            "postal_code": "452124107",
            "telephone_number": "513-871-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 SMITH RD",
            "city": "NORWOOD",
            "state": "OH",
            "postal_code": "452124107",
            "telephone_number": "513-871-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAUL A. DEARDORFF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "LEISGANG",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "513-871-7285"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ForPsych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.