Active NPI
George Frederick Klemperer, PHD
- Psychologist
- Berea, OH
National Provider Identifier
1861530826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4233
- Practice address
- 429 Front St
Berea, OH 44017-1716 - Phone
- (440) 234-1900
- Fax
- (440) 234-2072
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4233 | OH | Primary |
Addresses
Primary practice location
429 Front St
Berea, OH 44017-1716
Mailing address
429 Front St
Berea, OH 44017-1716
Phone (440) 234-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0143035 | Medicaid | OH |
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861530826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 FRONT ST",
"city": "BEREA",
"state": "OH",
"postal_code": "440171716",
"telephone_number": "440-234-1900",
"fax_number": "440-234-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 FRONT ST",
"city": "BEREA",
"state": "OH",
"postal_code": "440171716",
"telephone_number": "440-234-1900",
"fax_number": "440-234-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMPERER",
"first_name": "GEORGE",
"middle_name": "FREDERICK",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0143035",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berea, 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.