Individual provider Active NPI

Alexander James Colbow, PHD

  • Psychologist
  • Kent, OH
National Provider Identifier
1811299456
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P.07766 Issued in OH
Practice address
Psychological Services 1500 Eastway Drive
Kent, OH 44242-0001
Phone
(440) 478-5034
NPI assigned
Dec 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P.07766 OH Primary

Addresses

Primary practice location

Psychological Services 1500 Eastway Drive
Kent, OH 44242-0001

Mailing address

Psychological Services 1500 Eastway Drive
Kent, OH 44242-0001
Phone (440) 478-5034

Other practice location 1

237 Highland Ave
1st Floor
Needham, MA 02494-3036
Phone (781) 686-3570

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

LicenseStateTypeSpecialty
P.07766OHMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1811299456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSYCHOLOGICAL SERVICES 1500 EASTWAY DRIVE",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442420001",
            "telephone_number": "440-478-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PSYCHOLOGICAL SERVICES 1500 EASTWAY DRIVE",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442420001",
            "telephone_number": "440-478-5034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Highland Ave",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "Needham",
            "state": "MA",
            "postal_code": "024943036",
            "country_code": "US",
            "telephone_number": "781-686-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLBOW",
        "first_name": "ALEXANDER",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-02",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.07766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.