Active NPI
Andrea M Bischoff, PSY.D.
- Clinical Psychologist
- Dayton, OH
National Provider Identifier
1861695694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6591
- Practice address
- 601 S Edwin C Moses Blvd
Elizabeth Place, 4TH Floor
Dayton, OH 45417-3424 - Phone
- (937) 276-8333
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 6591 | OH | Primary |
Addresses
Primary practice location
601 S Edwin C Moses Blvd
Elizabeth Place, 4TH Floor
Dayton, OH 45417-3424
Mailing address
601 S Edwin C Moses Blvd
Elizabeth Place, 4TH Floor
Dayton, OH 45417-3424
Phone (937) 276-8333
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6591 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1861695694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S EDWIN C MOSES BLVD",
"address_2": "ELIZABETH PLACE, 4TH FLOOR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173424",
"telephone_number": "937-276-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S EDWIN C MOSES BLVD",
"address_2": "ELIZABETH PLACE, 4TH FLOOR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173424",
"telephone_number": "937-276-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISCHOFF",
"first_name": "ANDREA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.