Individual provider Active NPI

Danelle Hupp, PH.D.

  • Clinical Psychologist
  • Fairview Park, OH
National Provider Identifier
1770906968
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7099 Issued in OH
Practice address
20800 Westgate Mall
Suite 200
Fairview Park, OH 44126-1323
Phone
(440) 333-4949
Fax
(440) 333-5044
NPI assigned
Jan 24, 2014
Last updated
Jan 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7099 OH Primary

Addresses

Primary practice location

20800 Westgate Mall
Suite 200
Fairview Park, OH 44126-1323

Mailing address

20800 Westgate Mall
Suite 200
Fairview Park, OH 44126-1323
Phone (440) 333-4949

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7099OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Effective Living PastSince Oct 31, 2015 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1770906968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE MALL",
            "address_2": "SUITE 200",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261323",
            "telephone_number": "440-333-4949",
            "fax_number": "440-333-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE MALL",
            "address_2": "SUITE 200",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261323",
            "telephone_number": "440-333-4949",
            "fax_number": "440-333-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPP",
        "first_name": "DANELLE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.