Patricia A Vankley, PH D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4836 Issued in OH

Practice address

975 Commerce Dr
Perrysburg, OH 43551-5228

Phone

(419) 874-8257

Fax

(419) 874-9960

NPI assigned

Sep 9, 2005

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 names 1

• Dr. Patricia A Van Kley Professional name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Meigs Wellness and Behavioral Health LLCGroup PAC ID 3375983919, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Fort Meigs Wellness & Behavioral Health LLC

  • Mental Health Counselor
  • Perrysburg, OH
  • NPI 1679323547

  Psychologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1942294541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515228",
            "telephone_number": "419-874-8257",
            "fax_number": "419-874-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515228",
            "telephone_number": "419-874-8257",
            "fax_number": "419-874-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKLEY",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "VAN KLEY",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PH D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Unlimited Care Services
• Valerie Liebert LLC
• Valerie Liebert LLC
• Christine Valigosky
• Madeline A Vanhorn, LPCC
• Celsie Vanloon
• Vascular Center Physicians at Regency LLC
• Amanda Vasko
• Marina Vaught
• Patricia M Vega, M.D.

• Psychologist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.