Individual provider Active NPI

Larry Keith Truzzie, M ED

  • Psychologist
  • Columbiana, OH
National Provider Identifier
1821035288
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
794 Issued in OH
Practice address
750 E Park Ave
Columbiana, OH 44408-1448
Phone
(330) 482-3871
Fax
(330) 482-0133
NPI assigned
Jun 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 794 OH Primary

Addresses

Primary practice location

750 E Park Ave
Columbiana, OH 44408-1448

Mailing address

255 Manor Dr
Columbiana, OH 44408-1042
Phone (330) 482-5593

Other identifiers 1

IdentifierTypeStateIssuer
0331564MedicaidOH

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
Master of Education

State licenses

LicenseStateTypeSpecialty
794OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821035288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MANOR DR",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444081042",
            "telephone_number": "330-482-5593",
            "fax_number": "330-482-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E PARK AVE",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444081448",
            "telephone_number": "330-482-3871",
            "fax_number": "330-482-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUZZIE",
        "first_name": "LARRY",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "M ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0331564",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, 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.

Verify at the official NPI Registry.