Active NPI
Joel Howard Kupfersmid, PH.D.
- Psychologist
- Stow, OH
National Provider Identifier
1760519136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2555
- Practice address
- 1186 Temple TRL
Stow, OH 44224-2239 - Phone
- (330) 688-0889
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2555 | OH | Primary |
Addresses
Primary practice location
1186 Temple TRL
Stow, OH 44224-2239
Mailing address
1186 Temple TRL
Stow, OH 44224-2239
Phone (330) 688-0889
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2555 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Department of Mental Health | Past | Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | 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.
-
- Case Management Agency
- Medina, OH
- NPI 1407825474
-
- Nursing Facility/Intermediate Care Facility
- Sandusky, OH
- NPI 1790732576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760519136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1186 TEMPLE TRL",
"city": "STOW",
"state": "OH",
"postal_code": "442242239",
"telephone_number": "330-688-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1186 TEMPLE TRL",
"city": "STOW",
"state": "OH",
"postal_code": "442242239",
"telephone_number": "330-688-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPFERSMID",
"first_name": "JOEL",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "2555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.