DR. BRAD POTTS (NPI# 1598170102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598170102 |
| Entity Type | Individual |
| Full Name | DR. BRAD POTTS |
| Credential | PH.D. |
| Practice Address |
2338 N West St Lima OH 45801-2051 |
| Practice Telephone | 4192248000 |
| Practice Fax Number | 4199885615 |
| Mailing Telephone | 4192248000 |
| Mailing Fax Number | 4199985615 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 5623 | OH | Behavioral Health & Social Service Providers |
| Street Address |
2338 N WEST ST |
| City | LIMA |
| State | OH |
| Zip Code | 45801-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669726949 | Glennard Stephen Ruedisueli | Psychiatry & Neurology | 2338 N West St, Lima, OH 45801-2051 | 2012-11-07 |
| 1700447638 | Kristy Lee Reynolds | Nurse Practitioner | 2338 N West St, Lima, OH 45801-2051 | 2019-06-21 |
| 1154858611 | David Dwight Caudill | Family Medicine | 2338 N West St, Lima, OH 45801-2051 | 2017-05-16 |
| 1255793766 | Lori Ann Leftenant | Social Worker | 2338 N West St, Lima, OH 45801-2051 | 2016-03-23 |
| 1467853077 | Robert Fulmer | Psychologist | 2338 N West St, Lima, OH 45801-2051 | 2014-09-15 |
| 1023431392 | Ann Lovejoy | Dental Hygienist | 2338 N West St, Lima, OH 45801-2051 | 2014-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839720 | Candie Sue Dray | Counselor | 311 Market St., 311 Market St, Lima, OH 45801 | 2017-09-01 |
| 1962945105 | Alisha Harper | Social Worker | 200 E. High St. 2nd Floor, Lima, OH 45801 | 2016-11-21 |
| 1841740156 | Bullock Home Care | Home Health | 128 West High Street, Lima, OH 45801 | 2016-10-11 |
| 1952787707 | Brenda Tran Hoang | Pharmacist | 730 W Market St., Lima, OH 45801 | 2015-08-04 |
| 1134511918 | Gbenga Balogun | Registered Nurse | 1225 Summit Street, Lima, OH 45801 | 2015-03-03 |
| 1588802763 | Illness Prevention and Holistic Health Center | Specialist | 545 West Market Street, Suite 306, Lima, OH 45801 | 2009-01-27 |
| 1033302237 | Custom Staffing Lima Inc | Home Health | 712 W North St, Lima, OH 45801 | 2007-08-21 |
| 1316167463 | Ear Nose and Throat Specialists of West Central Ohio | Otolaryngology | 770 West High St, Suite 480, Lima, OH 45801 | 2007-04-30 |
| 1598886566 | Zita Marie Duffy | Social Worker | 658 W Market St Ste 101, Lima, OH 45801 | 2007-04-03 |
| 1487787875 | Steve C Knapke | Specialist/Technologist | 730 West Market St., Lima, OH 45801 | 2007-03-14 |
| Find all providers in zip 45801 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992088173 | John A Miller | Psychologist | 1081 Gloria Ave, Apt D, Lima, OH 45805-2996 | 2011-09-23 |
| 1710110556 | Esther E. Wangler | Psychologist | 1130 W Market St, Lima, OH 45805-2710 | 2009-08-27 |
| 1457416158 | Stacy L Fahlsing | Psychologist | 3745 Shawnee Rd Ste 105, Lima, OH 45806-1662 | 2006-12-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184244 | Works of Faith Wellness and Consultation, LLC | Psychologist | 867 Mosaic Ct, Columbus, OH 43230-3835 | 2020-11-02 |
| 1740896711 | Shalin Shah | Psychologist | 2312 Ohio Ave Apt 131, Cincinnati, OH 45219-1630 | 2020-09-16 |
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1184241655 | Laura L Moncrief, Psy.d., LLC | Psychologist | 7155 Pearl Rd Ste 102, Middleburg Heights, OH 44130-4945 | 2020-07-01 |
| 1043834971 | Tycie Alcorn | Psychologist | 1415 Oak Hill Ct Apt 50, Toledo, OH 43614-2544 | 2020-06-06 |
| 1912520065 | Tracey King | Psychologist | 726 E Main St Ste F210, Lebanon, OH 45036-1900 | 2020-05-24 |
| 1811517964 | Susan Frances Folger | Psychologist | 5071 Forest Dr Ste B, New Albany, OH 43054-8181 | 2020-04-19 |
| 1740813898 | Carla Luciano Codani Hisatugo | Psychologist | 445 East Dublin Granville Rd., Worthington, OH 43085-3183 | 2020-02-18 |
| 1003456351 | Apex Neuropsychology Center LLC | Psychologist | 819 Southwestern Run #2, Poland, OH 44514 | 2020-01-14 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.