DR. DAVID JOHN DIETZ (NPI# 1982669180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982669180 |
| Entity Type | Individual |
| Full Name | DR. DAVID JOHN DIETZ |
| Credential | PHD |
| Practice Address |
420 N James Rd Columbus OH 43219-1834 |
| Practice Telephone | 6143301876 |
| Mailing Telephone | 6143301876 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2013-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 5707 | OH | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 2394 | CO | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 5707 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841456589 | David Dietz | Counselor | 1795 W. Drexel, Tucson, AZ 85749 | 2008-08-01 |
| 1669896031 | David Dietz | Occupational Therapist | 124 Windsor Park Dr, Carol Stream, IL 60188-1986 | 2014-02-06 |
| 1578581039 | David W Dietz | Colon & Rectal Surgery | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-07-17 |
| Street Address |
420 N JAMES RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43219-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677726 | John Robert Raabe | Internal Medicine | 420 N James Rd, Columbus, OH 43219-1834 | 2005-05-23 |
| 1720692742 | Charles Allen Pedigo | Respiratory Therapist, Registered | 420 N James Rd, Columbus, OH 43219-1834 | 2020-09-08 |
| 1467070292 | Katelyn Fox | Social Worker | 420 N James Rd, Columbus, OH 43219-1834 | 2020-07-08 |
| 1841817244 | Hannah Elise Magas | Pharmacist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-07-01 |
| 1649897042 | Katie Xu | Pharmacist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-07-01 |
| 1770108409 | Karina Yvette Miller | Optometrist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-06-09 |
| 1619591500 | Jessica Ann Liszka | Pharmacist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-06-05 |
| 1275156648 | Caitlin J Talcott | Speech-Language Pathologist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-05-20 |
| 1336761162 | Brett Bowers | Optometrist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-05-14 |
| 1659993541 | Steve Murimi Mathenge Njeru | Optometrist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430844 | Pdq Transportation Inc | Secured Medical Transport (VAN) | 1640 E 5th Ave, Columbus, OH 43219 | 2020-06-06 |
| 1366066599 | Urban Limousine LLC | Secured Medical Transport (VAN) | 1640 E. 5th Ave, Columbus, OH 43219 | 2020-06-03 |
| 1841757879 | Camille Cook | Nurse Practitioner | 4200 Regent St. Suite 200, Columbus, OH 43219 | 2019-02-26 |
| 1164904595 | Vida Yeboah | Registered Nurse | 2320 Doneen Dr, Columbus, OH 43219 | 2018-09-01 |
| 1407373129 | Chevon Marie Wiseman | Nurse's Aide | 2835 Jared Pl, Columbus, OH 43219 | 2017-08-23 |
| 1952826737 | Hilary Schadle Demostenes | Social Worker | 2780 Airport Dr, Suite 100 - Billing/credentialing Dept., Columbus, OH 43219 | 2017-08-14 |
| 1851833800 | Amanda Yahn | Student in an Organized Health Care Education/Training Program | 2469 Stelzer Road, Bradford School, Columbus, OH 43219 | 2016-11-08 |
| 1215312939 | Taylor Weary | Student in an Organized Health Care Education/Training Program | 2649 Stelzer Rd, Columbus, OH 43219 | 2015-07-23 |
| 1568846715 | Brenton Semplak | Student in an Organized Health Care Education/Training Program | 2469 Stelzer Rd., Columbus, OH 43219 | 2015-07-17 |
| 1811384746 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4142 Seward Street, Suite F105, Columbus, OH 43219 | 2015-04-17 |
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| 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 |
|---|---|---|---|---|
| 1770184244 | Works of Faith Wellness and Consultation, LLC | Psychologist | 867 Mosaic Ct, Columbus, OH 43230-3835 | 2020-11-02 |
| 1013525120 | Renato Popovic | Psychologist | 2601 Cross Country Dr, Columbus, GA 31906-1801 | 2020-07-15 |
| 1518510155 | Michael Vilensky | Psychologist | 1441 Phale D Hale Drive, Columbus, OH 43203 | 2019-07-23 |
| 1740766559 | Smarter Therapy, LLC | Psychologist | 371 Forest St, Columbus, OH 43206-2221 | 2018-07-15 |
| 1568971570 | Dru Garcia | Psychologist | 999 Polaris Pkwy Ste 102, Columbus, OH 43240-2051 | 2017-09-21 |
| 1356712970 | Brett Allen Coney | Psychologist | 10047 Big Hand Rd, Columbus, MI 48063-2801 | 2015-10-08 |
| 1326446352 | Leila Phelps-ba | Psychologist | 6677 Kennerdown St, Columbus, OH 43229-1517 | 2014-12-08 |
| 1013257161 | Wesley Howard Sylvia | Psychologist | 1800 Harmon Ave, Columbus, OH 43223-3827 | 2013-02-27 |
| 1437465317 | Shonali C Raney | Psychologist | 4041 N High St Ste 300g, Columbus, OH 43214-3200 | 2010-08-30 |
| 1124331699 | Teresa Anne Young | Psychologist | 1520 Old Henderson Rd Ste E, Columbus, OH 43220 | 2010-07-26 |
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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.