Individual provider Active NPI

Diane Decaprio, ED.S.

  • School Psychologist
  • Cleveland, OH
National Provider Identifier
1821490798
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
KU1040255 Issued in OH
Practice address
5550 Clark Ave
Cleveland, OH 44102-4598
Phone
(216) 631-2760
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X KU1040255 OH Primary

Addresses

Primary practice location

5550 Clark Ave
Cleveland, OH 44102-4598

Mailing address

5550 Clark Ave
Cleveland, OH 44102-4598
Phone (216) 631-2760

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

LicenseStateTypeSpecialty
KU1040255OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1821490798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 CLARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024598",
            "telephone_number": "216-631-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 CLARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024598",
            "telephone_number": "216-631-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAPRIO",
        "first_name": "DIANE",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "KU1040255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.