Individual provider Active NPI

SH Marie Coleman-Gross, M.S.

  • School Psychologist
  • Lancaster, OH
National Provider Identifier
1932588324
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
MM1001499 Issued in OH
Practice address
345 E Mulberry St
Lancaster, OH 43130-3166
Phone
(740) 687-7360
Fax
(740) 681-7505
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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 MM1001499 OH Primary

Addresses

Primary practice location

345 E Mulberry St
Lancaster, OH 43130-3166

Mailing address

345 E Mulberry St
Lancaster, OH 43130-3166
Phone (740) 687-7360

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MM1001499OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster City Schools Past Accepting new patients

Organizations & group practices 1

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1932588324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E MULBERRY ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303166",
            "telephone_number": "740-687-7360",
            "fax_number": "740-681-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E MULBERRY ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303166",
            "telephone_number": "740-687-7360",
            "fax_number": "740-681-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN-GROSS",
        "first_name": "SH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "MM1001499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.