Helen Marie (Davis) Rodebaugh, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4629 Issued in OH

Practice address

2066 Henderson Rd
Suite 101
Upper Arlington, OH 43220-2452

Phone

(614) 752-0333

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Helen Marie (Davis) Gribble Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1972656478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 HENDERSON RD",
            "address_2": "SUITE 101",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432202452",
            "telephone_number": "614-457-5155",
            "fax_number": "614-457-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 HENDERSON RD",
            "address_2": "SUITE 101",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432202452",
            "telephone_number": "614-752-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEBAUGH",
        "first_name": "HELEN",
        "middle_name": "MARIE (DAVIS)",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "GRIBBLE",
            "middle_name": "MARIE (DAVIS)",
            "prefix": "MRS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Psychologist in Upper Arlington, OH
• Providers in Upper Arlington, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.