DR. SUSAN MARIE HAVERCAMP (NPI# 1760410898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760410898 |
| Entity Type | Individual |
| Full Name | DR. SUSAN MARIE HAVERCAMP |
| Credential | PHD |
| Practice Address |
1581 Dodd Drive Suite 300 Columbus OH 43210-1240 |
| Mailing Address |
700 Ackerman Road Suite 385 Columbus OH 43202-1524 |
| Practice Telephone | 6142477190 |
| Practice Fax Number | 6142476073 |
| Mailing Telephone | 6149473700 |
| Mailing Fax Number | 6149473771 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2011-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
6652 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3133175 | 05 |
| Street Address |
1581 DODD DRIVE SUITE 300 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265481485 | Craig Edward Williams | Psychiatry & Neurology | 1581 Dodd Drive, Columbus, OH 43210-1240 | 2006-05-06 |
| 1225123649 | Helen Joanne Carey | Physical Therapist | 1581 Dodd Drive, Columbus, OH 43210 | 2006-10-03 |
| 1164516290 | Edward Stuart Sterling | Dentist | 1581 Dodd Drive, Columbus, OH 43210 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295156263 | Angelice Morgan | Psychologist | 506 Manchester Expressway, Columbus, GA 31904 | 2013-12-18 |
| 1982025045 | Amber Harrow | Psychologist | 506 Manchester Expy Ste A13and14, Columbus, GA 31904-6444 | 2013-12-17 |
| 1831524917 | Abigail Chiwandamira | Psychologist | 6113 Chestnut Ridge Dr, Columbus, OH 43230-8311 | 2013-09-09 |
| 1962613760 | Susan Narwicz Sherwood | Psychologist | 2879 Johnstown Road, Columbus, OH 43219 | 2007-05-24 |
| 1992188577 | Jenna Kern | Psychologist | 5000 Arlington Centre Blvd, Columbus, OH 43220-3075 | 2015-07-01 |
| 1821497801 | Judy Davis | Psychologist | 2100 Comer Ave, 1230 2nd Ave, Columbus, GA 31904-8725 | 2014-08-15 |
| 1699184796 | Terry Bruce | Psychologist | 1230 2nd Ave, Columbus, GA 31901-5241 | 2014-08-04 |
| 1255594859 | Amanda Sanford | Psychologist | 2100 Comer Ave, Columbus, GA 31904-8725 | 2008-07-03 |
| 1962615401 | Douglas Carter Mcelwain | Psychologist | 1660 Nw Professional Plz, Suite F, Columbus, OH 43220-3854 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881146934 | Tyesha Walker | Psychologist | 1745 Stevens Ave, Cincinnati, OH 45231-4239 | 2016-10-25 |
| 1598214165 | Bocar Dieng | Psychologist | 131 Heatherbridge Ln, Blacklick, OH 43004-9269 | 2016-09-23 |
| 1740634815 | Clarice Butler Starks | Psychologist | 1106 Winton Ave, Akron, OH 44320-3630 | 2016-04-14 |
| 1871999417 | Samuel Saunders | Psychologist | 16715 Palda Dr, Cleveland, OH 44128-3326 | 2014-11-10 |
| 1467855874 | Lorrie Clifford | Psychologist | 6230 Ridgeacres Dr, Unit A, Cincinnati, OH 45237-4981 | 2014-09-29 |
| 1891116489 | Patricia Lynn Emerson | Psychologist | 2723 Erlene Dr Apt 1029, Cincinnati, OH 45238-2858 | 2013-12-27 |
| 1114353489 | Tera D Gibson | Psychologist | 1047 Hartford Ave, Akron, OH 44320-2727 | 2013-09-18 |
| 1629417498 | Laura Griffin-white | Psychologist | 4404 Hill Ave Apt Ag07, Toledo, OH 43615-5456 | 2013-06-14 |
| 1790094019 | Hiddend Pearls, LLC | Psychologist | 30 E Harrison St, Alliance, OH 44601-1821 | 2010-10-04 |
| 1114198769 | Melissa Ann Cornish | Psychologist | 6208 Crooked Creek Drive, Mason, OH 45040 | 2008-03-21 |
| 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.