Organization Active NPI

Psychological Associates Inc.

  • Mental Health Counselor
  • Columbus, OH
National Provider Identifier
1902198120
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0004118 Issued in OH
Legal business name
PSYCHOLOGICAL ASSOCIATES INC.
Practice address
3120 E Main St
Columbus, OH 43209-3707
Phone
(614) 235-2000
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Dr. Stephen Michael Muncy, PH.D
Title
Clinical Psychologist
Phone
(614) 235-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X E0004118 OH Primary

Addresses

Primary practice location

3120 E Main St
Columbus, OH 43209-3707

Mailing address

2699 E Main St Ste 105
Columbus, OH 43209-2533
Phone (614) 235-2000

Other identifiers 1

IdentifierTypeStateIssuer
2383586MedicaidOH

National Provider Directory

National Provider Directory

Locations

2700 E Main St
Ste 107
Columbus, OH 43209
Phone (614) 235-2000

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1902198120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 E MAIN ST STE 105",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092533",
            "telephone_number": "614-235-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432093707",
            "telephone_number": "614-235-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "MUNCY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "614-235-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0004118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2383586",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.