Active NPI
Stephanie Clouse
- Clinical Psychologist
- Columbus, OH
National Provider Identifier
1982032223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6855
- Practice address
- 7650 Rivers Edge Dr Ste 140
Columbus, OH 43235-1342 - Phone
- (614) 636-2717
- NPI assigned
- Oct 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6855 | OH | Primary |
Addresses
Primary practice location
7650 Rivers Edge Dr Ste 140
Columbus, OH 43235-1342
Mailing address
7650 Rivers Edge Dr Ste 140
Columbus, OH 43235-1342
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6855 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Area Wellness and Counseling | Clinical | Current | Accepting new patients |
Locations
7650 Rivers Edge Dr
Ste 140
Columbus, OH 43235
Phone (614) 636-2717
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Columbus, OH
- NPI 1053906297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1982032223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 RIVERS EDGE DR STE 140",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432351342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7650 RIVERS EDGE DR STE 140",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432351342",
"telephone_number": "614-636-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUSE",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-24",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.