Organization Active NPI

Karen M Terry PHD Psychological SRV

  • Clinical Psychologist
  • Columbus, OH
National Provider Identifier
1942489505
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4563 Issued in OH
Legal business name
KAREN M TERRY PHD PSYCHOLOGICAL SRV
Practice address
5979 E Livingston Ave
Suite 101
Columbus, OH 43232-2908
Phone
(614) 860-0580
Fax
(614) 860-0595
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Dr. Karen Michelle Terry, PH.D.
Title
Clinical Psychologist
Phone
(614) 860-0580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4563 OH Primary

Addresses

Primary practice location

5979 E Livingston Ave
Suite 101
Columbus, OH 43232-2908

Mailing address

5979 E Livingston Ave
Suite 101
Columbus, OH 43232-2908
Phone (614) 860-0580

National Provider Directory

National Provider Directory

Locations

5979 E Livingston Ave
Ste 101
Columbus, OH 43232
Phone (614) 860-0580

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1942489505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 E LIVINGSTON AVE",
            "address_2": "SUITE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322908",
            "telephone_number": "614-860-0580",
            "fax_number": "614-860-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 E LIVINGSTON AVE",
            "address_2": "SUITE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322908",
            "telephone_number": "614-860-0580",
            "fax_number": "614-860-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN M TERRY PHD PSYCHOLOGICAL SRV",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "614-860-0580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4563",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 1, 2016; 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.