Active NPI
David Andrew Woodall, PSY.D.
- Psychologist
- Springdale, OH
National Provider Identifier
1790307072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P.08029
- Practice address
- 1329 E Kemper Rd Ste 4220a
Springdale, OH 45246-5100 - Phone
- (513) 570-4506
- NPI assigned
- May 10, 2020
- Last updated
- May 28, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | P.08029 | OH | Primary |
| Clinical Psychologist | 103TC0700X | 096649 | IA | |
| Clinical Psychologist | 103TC0700X | P.08029 | OH |
Addresses
Primary practice location
1329 E Kemper Rd Ste 4220a
Springdale, OH 45246-5100
Mailing address
1329 E Kemper Rd Ste 4220a
Springdale, OH 45246-5100
Phone (513) 570-4506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0405471 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P.08029 | OH | MD | Psychologist |
| 096649 | IA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Insights LLC | Clinical | Current | Accepting new patients |
Locations
1329 E Kemper Rd
Ste 4220A
Springdale, OH 45246
Phone (513) 570-4506
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.
-
- Clinical Psychologist
- Springdale, OH
- NPI 1336910652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1790307072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 E KEMPER RD STE 4220A",
"city": "SPRINGDALE",
"state": "OH",
"postal_code": "452465100",
"telephone_number": "513-570-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 E KEMPER RD STE 4220A",
"city": "SPRINGDALE",
"state": "OH",
"postal_code": "452465100",
"telephone_number": "513-570-4506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODALL",
"first_name": "DAVID",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-10",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "P.08029",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "096649",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "P.08029",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0405471",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.