Individual provider Active NPI

Joshua Magleby, PHD

  • Clinical Neuropsychologist
  • Fairlawn, OH
National Provider Identifier
1851525604
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6499 Issued in OH
Practice address
3094 W Market St Ste 220
Fairlawn, OH 44333-3624
Phone
(330) 703-6316
Fax
(216) 696-5768
NPI assigned
May 7, 2009
Last updated
Sep 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6499 OH Primary

Addresses

Primary practice location

3094 W Market St Ste 220
Fairlawn, OH 44333-3624

Mailing address

3250 W Market St
Suite 106
Fairlawn, OH 44333-3336
Phone (330) 873-9516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6499OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1851525604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W MARKET ST",
            "address_2": "SUITE 106",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333336",
            "telephone_number": "330-873-9516",
            "fax_number": "330-864-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 W MARKET ST STE 220",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333624",
            "telephone_number": "330-703-6316",
            "fax_number": "216-696-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLEBY",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "6499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.