Active NPI
Grace Campbell Hwang
- Intellectual & Developmental Disabilities Psychologist
- North Ridgeville, OH
National Provider Identifier
1891414256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- License
- VD189195
- Practice address
- 36859 Amalfi Rd
North Ridgeville, OH 44039-1298 - Phone
- (440) 219-8145
- NPI assigned
- Aug 26, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | VD189195 | OH | Primary |
Addresses
Primary practice location
36859 Amalfi Rd
North Ridgeville, OH 44039-1298
Mailing address
36859 Amalfi Rd
North Ridgeville, OH 44039-1298
Phone (440) 219-8145
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
| License | State | Type | Specialty |
|---|---|---|---|
| VD189195 | OH | MD | Intellectual & Developmental Disabilities Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1891414256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36859 AMALFI RD",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440391298",
"telephone_number": "440-219-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36859 AMALFI RD",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440391298",
"telephone_number": "440-219-8145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "GRACE",
"middle_name": "CAMPBELL",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "OH",
"license": "VD189195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Ridgeville, OH
- Cheryl Holowecky, R.N. C.N.P.
- Tracy Dawn Hromadka, LISW-SUPV, LCSW
- Kathryn E Huggins, MS, RD, LD, CLC,CHC
- Courtney Leigh Hughes- Ksenich, LPCC
- Brenda Lee Huya, LPN
- Independent Medical Supply
- Integrative Counseling and Wellness LLC
- Invacare Continuing Care Rentals
- Kelsey Jager, PC
- Jenna Lynn Januzzi, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.