Rebecca Becker, PSY.D.
Individual provider Active NPI Clinical Child & Adolescent Psychologist · Powell, OH
NPI 1972105252 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1972105252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Child & Adolescent Psychologist 103TC2200X
- License
- P.07683 (OH)
- Practice address
- 8776 Westward Way
Powell, OH 43065-6907 - Phone
- (614) 470-4466
- NPI assigned
- Nov 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| P.07683 | OH | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Psychological and Academic Services LLC | Single Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist |
103TC2200X | P.07683 | OH | Yes |
Addresses
Primary practice location
8776 Westward Way
Powell, OH 43065-6907
Mailing address
8776 Westward Way
Powell, OH 43065-6907
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rebecca684@yahoo.com |
Other providers in Powell, OH
- Mackenzie Baldwin
- Orelius Barnett III
- Anthony Bartko
- Michele Anne Basile
- Traci J Beams
- Anna Beckmeyer
- Robert Lee Behrens II
- Gregory Bell
- Kyle Anne Bell
- Tammy Nikki Bellios
All providers in Powell, OH · Clinical Child & Adolescent Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. 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.