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AMY DETRICK
NPI 1265036982
Clinic/Center - Developmental Disabilities in Fairborn, OH

Active since November 23, 2020
421 KIRKWOOD DR, FAIRBORN, OH 45324(770) 878-7179 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy Detrick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY DETRICK (NPI 1265036982) is an individual developmental disabilities provider in Fairborn, Ohio and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1265036982
Entity TypeIndividualFemale
Primary Taxonomy261QD1600X
Provider Legal NameAMY DETRICK
Location Address421 KIRKWOOD DRFairborn, OH 45324-4429
Mailing Address421 Kirkwood DrFairborn, OH 45324-4429 · (770) 878-7179
Phone(770) 878-7179
Sole ProprietorYes
Enumeration DateNovember 23, 2020
NPPES CertifiedNovember 23, 2020
✔ NPI 1265036982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
421 KIRKWOOD DR, Fairborn, OH 45324
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Other Identifiers 1

Medicaid0157443OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Detrick's NPI number?

The NPI number for Amy Detrick is 1265036982. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Amy Detrick located?

Amy Detrick practices at 421 Kirkwood Dr, Fairborn, OH 45324. The listed phone number is (770) 878-7179.

What is Amy Detrick's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Amy Detrick was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.