Active NPI
Neurobehavioral Associates LTD
- Psychologist
- Mansfield, OH
National Provider Identifier
1871570390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- NEUROBEHAVIORAL ASSOCIATES LTD
- Practice address
- 462 Park Ave West
Mansfield, OH 44906 - Phone
- (419) 529-9944
- Fax
- (419) 529-9989
- NPI assigned
- Dec 27, 2005
- Last updated
- Jan 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Sue Wilkerson, PHD
- Title
- President
- Phone
- (419) 529-9944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
462 Park Ave West
Mansfield, OH 44906
Mailing address
462 Park Ave West
Mansfield, OH 44906
Phone (419) 529-9944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2294360 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1230 Lexington Ave
Ste 202
Mansfield, OH 44907
Phone (419) 709-4752
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Mansfield, OH
- NPI 1013140714
-
- Professional Counselor
- Mansfield, OH
- NPI 1285692590
-
- Mental Health Counselor
- Mansfield, OH
- NPI 1649246638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1871570390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 PARK AVE WEST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "44906",
"telephone_number": "419-529-9944",
"fax_number": "419-529-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 PARK AVE WEST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "44906",
"telephone_number": "419-529-9944",
"fax_number": "419-529-9989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROBEHAVIORAL ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-27",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "WILKERSON",
"authorized_official_first_name": "DIANA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-529-9944",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2294360",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.