NPIMap

Organization Active NPI

Ohio University Psychology and Social Work Clinic

  • Clinical Psychologist
  • Athens, OH
National Provider Identifier
1972723971
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
OHIO UNIVERSITY PSYCHOLOGY AND SOCIAL WORK CLINIC
Practice address
1 Ohio University
Dept of Psychology, Porter Hall Room 002
Athens, OH 45701-2942
Phone
(740) 597-1251
Fax
(740) 593-4790
NPI assigned
May 1, 2007
Last updated
Aug 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Authorized official

Name
Julie A Suhr, PHDNPI 1790213213
Title
Director of Clinical Training
Phone
(740) 593-0902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1 Ohio University
Dept of Psychology, Porter Hall Room 002
Athens, OH 45701-2942

Mailing address

1 Ohio University
Dept of Psychology, Porter Hall Room 002
Athens, OH 45701-2942

National Provider Directory

National Provider Directory
Tax ID family
Ohio University Therapy Associates8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Ohio University
#5
Athens, OH 45701

1 Porter Hall
#2
Athens, OH 45701
Phone (740) 593-0902

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1972723971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OHIO UNIVERSITY",
            "address_2": "DEPT OF PSYCHOLOGY, PORTER HALL ROOM 002",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OHIO UNIVERSITY",
            "address_2": "DEPT OF PSYCHOLOGY, PORTER HALL ROOM 002",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012942",
            "telephone_number": "740-597-1251",
            "fax_number": "740-593-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO UNIVERSITY PSYCHOLOGY AND SOCIAL WORK CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "SUHR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL TRAINING",
        "authorized_official_telephone_number": "740-593-0902",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.