Individual provider Active NPI

Rebeca S Geitgey

  • School Psychologist
  • Canton, OH
National Provider Identifier
1861899015
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
UA1011460 Issued in OH
Practice address
901 44TH St NW
Canton, OH 44709-1611
Phone
(330) 491-3839
Fax
(330) 491-3904
NPI assigned
Dec 3, 2014
Last updated
Dec 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X UA1011460 OH Primary

Addresses

Primary practice location

901 44TH St NW
Canton, OH 44709-1611

Mailing address

901 44TH St NW
Canton, OH 44709-1611
Phone (330) 491-3839

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
UA1011460OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Plain Local School District Past Accepting new patients
Plain Local Schools Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1861899015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 44TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447091611",
            "telephone_number": "330-491-3839",
            "fax_number": "330-491-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 44TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447091611",
            "telephone_number": "330-491-3839",
            "fax_number": "330-491-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEITGEY",
        "first_name": "REBECA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "UA1011460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.