Massimo De Marchis, PSY.D.
Individual provider Active NPI Clinical Psychologist · Dayton, OH
NPI 1942321989 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1942321989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 4045 (OH)
- Practice address
- 732 Beckman St
Nova House Association Inc.
Dayton, OH 45410-2165 - Phone
- (937) 253-1680
- Fax
- (937) 253-8990
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4045 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Behavioral Health, Inc | Past |
Accepting new patients | |
| Nova Behavioral Health, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Clinical Psychologist | 103TC0700X | 4045 | OH | Yes |
Addresses
Primary practice location
732 Beckman St
Nova House Association Inc.
Dayton, OH 45410-2165
Mailing address
2536 Roanoke Ave
Dayton, OH 45419-1528
Phone (937) 684-2123
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.