Active NPI
Premier Health Specialists Inc
Doing business as Premier Psychological Services
- Psychologist
- Middletown, OH
National Provider Identifier
1831466986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- PREMIER HEALTH SPECIALISTS INC
- Doing business as
- Premier Psychological Services
- Practice address
- 5900 Long Meadow Dr
Suite 300
Middletown, OH 45005-9687 - Phone
- (937) 478-0749
- Fax
- (513) 727-2539
- NPI assigned
- Nov 17, 2011
- Last updated
- Aug 27, 2012
- Organization subpart
- Yes
- Parent organization
- PREMIER HEALTH SPECIALISTS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Danis, MD
- Title
- Ceo/President
- Phone
- (937) 499-8866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
5900 Long Meadow Dr
Suite 300
Middletown, OH 45005-9687
Mailing address
5900 Long Meadow Dr
Suite 300
Middletown, OH 45005-9687
Phone (937) 478-0749
Other names 1
- Premier Psychological Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050610000010 | OH | Part B Supplier - Clinic/Group Practice | 5597708594 |
Receives reassigned benefits from 938 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Health Specialists of Dayton Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346025600000",
"number": "1831466986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 LONG MEADOW DR",
"address_2": "SUITE 300",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450059687",
"telephone_number": "937-478-0749",
"fax_number": "513-727-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 LONG MEADOW DR",
"address_2": "SUITE 300",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450059687",
"telephone_number": "937-478-0749",
"fax_number": "513-727-2539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH SPECIALISTS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PREMIER HEALTH SPECIALISTS INC",
"enumeration_date": "2011-11-17",
"last_updated": "2012-08-27",
"status": "A",
"authorized_official_last_name": "DANIS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "937-499-8866",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Psychological Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Middletown, OH
- Premier Estates 520, LLC
- Premier Gastroenterology, Inc.
- Premier Health Specialists Inc (Middletown Pulmonary and Critical Care)
- Premier Health Specialists Inc (Premier Urology Center)
- Premier Health Specialists Inc (Advanced Cardiovascular Institute)
- Premier Health Specialists Inc (Pledger Orthopaedic Spine Center and Associates)
- Premier Health Specialists Inc (Comprehensive Neurology Associates)
- Premier Nursing LLC Home Health Service
- Premier Pain Treatment Institute
- Caroline Jean Presno, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.