DR. KENT ALAN EICHENAUER (NPI# 1396807434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396807434 |
| Entity Type | Individual |
| Full Name | DR. KENT ALAN EICHENAUER |
| Credential | PSYD |
| Practice Address |
205 Palmer Ave Bellefontaine OH 43311 |
| Mailing Address |
Po Box 104 Urbana OH 43078-0104 |
| Practice Telephone | 9372066500 |
| Mailing Telephone | 9372066500 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2018-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4151 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0783657 | 05 | |
| OH | ANTHEM | 3416952163A12 | 01 |
| OH | MANAGED HEALTH NETWORK | 113445 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 444 N Cleveland Ave Ste 310, Westerville, OH 430828390 | 9372066500 | |
| 5300 N Meadows Dr, Grove City, OH 431232546 | 9372066500 | |
| 247 S Burnett Rd, Springfield, OH 455052639 | 9372066500 | |
| 150 Taylor Station Rd Ste 350, Columbus, OH 432131157 | 9372066500 |
| Street Address |
205 PALMER AVE |
| City | BELLEFONTAINE |
| State | OH |
| Zip Code | 43311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023377298 | Angie Marlene Castle | Physician Assistant | 205 Palmer Ave, Bellefontaine, OH 43311 | 2012-05-09 |
| 1083870026 | Orthopaedic Institute of Ohio | Orthopaedic Surgery | 205 Palmer Ave, Bellefontaine, OH 43311 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082515 | Liza Hensley | Pharmacist | 2281 S. Main Street, Bellefontaine, OH 43311 | 2020-10-30 |
| 1285273367 | Mona Kaye Garrison | Family Medicine | 1860 S Main St, Bellefontaine, OH 43311 | 2020-01-06 |
| 1316429012 | Hana Elizabeth Fischesser | Speech-Language Pathologist | 205 Palmer Street, Bellefontaine, OH 43311 | 2018-08-30 |
| 1063934719 | Sophia Do Vang | Physician Assistant | 1860 S Main Street, Bellefontaine, OH 43311 | 2017-07-14 |
| 1164978441 | Jennifer Gaver | Specialist | 921 Rush Avenue, Bellefontaine, OH 43311 | 2016-08-28 |
| 1598186561 | Candice Nanette Stevens | Registered Nurse | 208 Blair Ave, Bellefontaine, OH 43311 | 2013-12-18 |
| 1225395361 | Nicholas J Peters | Orthopaedic Surgery | 1134 N Main St Ste 2500, Bellefontaine, OH 43311 | 2012-04-13 |
| 1679868889 | Melissa Rae Lallo | Physical Therapist | 711 Rush Avenue, Bvellefontaine, OH 43311 | 2011-06-15 |
| 1912146572 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 141 Richard Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| 1710126370 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 East Spring Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| Find all providers in zip 43311 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235408 | Kearisten Gaines | Psychologist | 1155 Niles Cortland Rd Se Ste 2, Warren, OH 44484-2542 | 2020-11-04 |
| 1124628409 | Maya Kemi Akinfosile | Psychologist | 2910 W 12th St Apt Up, Cleveland, OH 44113-5212 | 2020-10-27 |
| 1285245522 | Epiphany Psychotherapy & Consultation, LLC | Psychologist | 341 S 3rd St Ste 100-344, Columbus, OH 43215-5463 | 2020-08-11 |
| 1578180782 | Constructive Alternatives, LLC | Psychologist | 24300 Chagrin Blvd Ste 309, Beachwood, OH 44122-5629 | 2020-07-03 |
| 1932729746 | Transformations Psychological Services, LLC | Psychologist | 167 S State St Ste 80, Westerville, OH 43081-2236 | 2020-04-22 |
| 1194359216 | Kathrin A Koehler | Psychologist | 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 | 2020-02-27 |
| 1750914990 | Joshua B. Grubbs | Psychologist | 822 E Merry Psychology Building Suite 300, Bowling Green, OH 43403-0001 | 2020-02-17 |
| 1013540533 | Guy P Rowinski | Psychologist | 6099 Riverside Dr Ste 100, Dublin, OH 43017-2004 | 2020-02-13 |
| 1992346217 | Terrace Metrics, Inc. | Psychologist | 1122 Herschel Ave, Cincinnati, OH 45208-3113 | 2019-10-08 |
| 1275184723 | Reset Button Counseling LLC | Psychologist | 4041 N High St Ste 300l, Columbus, OH 43214-3200 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | BELLEFONTAINE |
| Zip Code | 43311 |
Please comment or provide details below to improve the information on DR. KENT ALAN EICHENAUER.
| 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.