Organization Active NPI

Premier Health Specialists Inc

Doing business as Premier Psychological Services

  • Psychologist
  • Middletown, OH
National Provider Identifier
1831466986
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER HEALTH SPECIALISTS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

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.

Verify at the official NPI Registry.