Emerald Psychological Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMERALD PSYCHOLOGICAL SERVICES LLC

Practice address

76 S High St
Dublin, OH 43017-1133

Phone

(614) 908-4636

Fax

(614) 407-9540

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Terra Vajcner, PH.D.NPI 1710491949

Title

Owner

Phone

(614) 908-4636

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terra Vajcner, PHD

  • Psychologist
  • Dublin, OH
  • NPI 1710491949
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1972380269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 S HIGH ST",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171133",
            "telephone_number": "614-908-4636",
            "fax_number": "614-407-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 S HIGH ST",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171133",
            "telephone_number": "614-908-4636",
            "fax_number": "614-407-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "VAJCNER",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-908-4636",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Dublin, OH
• Providers in Dublin, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.