DR. FADI M TAYIM (NPI# 1043697055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043697055 |
| Entity Type | Individual |
| Full Name | DR. FADI M TAYIM |
| Credential | PH.D. |
| Practice Address |
30 E Apple St Suite 5254a Dayton OH 45409-2939 |
| Practice Telephone | 9372084200 |
| Practice Fax Number | 9372084205 |
| Mailing Telephone | 9372084200 |
| Mailing Fax Number | 9372084205 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 7289 | OH | Behavioral Health & Social Service Providers |
| Street Address |
30 E APPLE ST SUITE 5254A |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295086 | Pramila J Bharwani | Physician Assistant | 30 E Apple St, Suite 5253, Dayton, OH 45409-2939 | 2005-06-15 |
| 1790301836 | Linda M Gibson | Registered Nurse | 30 E Apple St, Dayton, OH 45409-2939 | 2020-06-24 |
| 1144874314 | Priscilla Ann Blevins | Nurse Practitioner | 30 E Apple St, Dayton, OH 45409-2939 | 2019-07-26 |
| 1700386877 | Anne Marie Flynn | Registered Nurse | 30 E Apple St, Suite 5254 A, Dayton, OH 45409 | 2018-02-15 |
| 1508376922 | Ashley Wang | Physician Assistant | 30 E Apple St, Dayton, OH 45409-2939 | 2017-10-11 |
| 1245769033 | Jessamine Sothard | Nurse Practitioner | 30 E Apple St, Dayton, OH 45409-2939 | 2017-06-06 |
| 1821524513 | Shanah Hammock | Nurse Practitioner | 30 E Apple St, #6250, Dayton, OH 45409-2939 | 2017-05-02 |
| 1467985283 | Fady Yousef Hijji | Student in an Organized Health Care Education/Training Program | 30 E Apple St, Suite 2200, Dayton, OH 45409-2939 | 2017-04-08 |
| 1902339187 | Maria Groh | Physician Assistant | 30 E Apple St, Suite 5254, Dayton, OH 45409-2939 | 2017-04-05 |
| 1336672443 | Thomas George Cheslik | Student in an Organized Health Care Education/Training Program | 30 E Apple St, Suite 2200, Dayton, OH 45409-2939 | 2017-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649237553 | Jerry Eugene Flexman | Clinical Neuropsychologist | 1 Elizabeth Place, West Pavilion 1st Floor Suite C, Dayton, OH 45408 | 2006-04-26 |
| 1043612286 | Thomas Anthony Duda | Clinical Neuropsychologist | 1 Childrens Plz, Dayton, OH 45404-1873 | 2014-09-18 |
| 1083043079 | Neuropsychology Services of Southwest Ohio, LLC | Clinical Neuropsychologist | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2013-11-11 |
| 1982847364 | Mary Kristin Foster | Clinical Neuropsychologist | 30 E Apple St, Ste 6254, Dayton, OH 45409-2939 | 2009-04-14 |
| 1184795809 | Nikou Yazdanbakhsh | Clinical Neuropsychologist | 2611 Wayne Ave, Dayton, OH 45420 | 2006-11-13 |
| 1548349798 | Kevin Huban | Clinical Neuropsychologist | 1 Wyoming St, Sleep Center, Miami Valley Hospital, Dayton, OH 45409-2722 | 2006-11-06 |
| 1144315086 | James C Gilchrist | Clinical Neuropsychologist | 30 E Apple St, Ste 6255, Dayton, OH 45409-2939 | 2006-10-04 |
| 1619983335 | Anthony Earl Byrd | Clinical Neuropsychologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689283657 | Kathleen Elizabeth Hassara | Clinical Neuropsychologist | 215 W Bowery St Fl 4, Akron, OH 44308-1069 | 2020-07-27 |
| 1467970111 | Chelsea Kalynn Meng | Clinical Neuropsychologist | 8180 Brecksville Rd # 115, Brecksville, OH 44141 | 2017-09-01 |
| 1992243851 | James R. Pontau Jr. | Clinical Neuropsychologist | 9826 E. Washington St, Chagrin Falls, OH 44023-5486 | 2017-02-10 |
| 1780072561 | Jessica A Macdonald | Clinical Neuropsychologist | 8000 5 Mile Rd Ste 330, Cincinnati, OH 45230 | 2015-01-02 |
| 1902185796 | Melissa Swanson | Clinical Neuropsychologist | 7080 Quail Lakes Dr, Holland, OH 43528-9389 | 2011-08-10 |
| 1285959841 | Robin Gofberg | Clinical Neuropsychologist | 109 N Broad St, Suite 301, Lancaster, OH 43130-3738 | 2010-04-07 |
| 1235367285 | Karen Lynn Paull | Clinical Neuropsychologist | 29425 Chagrin Blvd., Suite 301, Pepper Pike, OH 44122 | 2009-06-29 |
| 1851525604 | Joshua Magleby | Clinical Neuropsychologist | 3094 W Market St Ste 220, Fairlawn, OH 44333-3624 | 2009-05-07 |
| 1902056575 | Jennifer J Whatley | Clinical Neuropsychologist | 6008 Aberfeldy Ct, Westerville, OH 43082-8344 | 2008-09-19 |
| 1376707240 | James Mitchell Buccigross | Clinical Neuropsychologist | 4450 Belden Village St Nw Ste 211, Canton, OH 44718-2596 | 2008-07-10 |
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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.