Beverly Damrauer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1369 Issued in OH

Practice address

3520 Heatherdowns Blvd
Suite 10
Toledo, OH 43614-3600

Phone

(419) 389-4234

Fax

(419) 389-4234

NPI assigned

Oct 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Cullen O'Connor

  dba Vocalis Speech Therapy

  • Hearing and Speech Clinic/Center
  • Toledo, OH
  • NPI 1447942719
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1912186776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 HEATHERDOWNS BLVD",
            "address_2": "SUITE 10",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143600",
            "telephone_number": "419-389-4234",
            "fax_number": "419-389-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 HEATHERDOWNS BLVD",
            "address_2": "SUITE 10",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143600",
            "telephone_number": "419-389-4234",
            "fax_number": "419-389-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMRAUER",
        "first_name": "BEVERLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "1369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simone Daley
• Amanda Kathleen Dalrymple, MD
• Julia Dalton, PHARMD
• Erin Marie Daly
• Mary Damas
• Angela Sue Damron, CDCA
• Cheryl Ann Daney, RN
• Patrick B Daney, D.C.
• Daniel and Wendy Nathan
• Daniel L. House, M.D. LLC

• Clinical Psychologist in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.