Individual provider Active NPI

John Joseph Oldani, M.S., NCSP

  • School Psychologist
  • Belleville, IL
National Provider Identifier
1942763487
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
Bassc - Belleville Area Special Services Cooperative
2411 Pathways Crossing
Belleville, IL 62221
Phone
(618) 355-4700
Fax
(618) 355-4415
NPI assigned
Apr 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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 Primary

Addresses

Primary practice location

Bassc - Belleville Area Special Services Cooperative
2411 Pathways Crossing
Belleville, IL 62221

Mailing address

Bassc - Belleville Area Special Services Cooperative
2411 Pathways Crossing
Belleville, IL 62221
Phone (618) 355-4700

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

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1942763487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BASSC - BELLEVILLE AREA SPECIAL SERVICES COOPERATIVE",
            "address_2": "2411 PATHWAYS CROSSING",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62221",
            "telephone_number": "618-355-4700",
            "fax_number": "618-355-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BASSC - BELLEVILLE AREA SPECIAL SERVICES COOPERATIVE",
            "address_2": "2411 PATHWAYS CROSSING",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62221",
            "telephone_number": "618-355-4700",
            "fax_number": "618-355-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDANI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.S., NCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.