JEAN B BAGAZA
NPI 1386420503
Psychologist - Intellectual and Developmental Disabilities in Pickerington, OH
- Individual
- Male
- Psychologist
- Intellectual and Developmental Disabilit...
About JEAN BAGAZA
This page provides the complete NPI Profile along with additional information for Jean Bagaza, a provider established in Pickerington, Ohio with a medical specialization in Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1386420503 assigned on September 2023. The practitioner's primary taxonomy code is 103TM1800X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1386420503 Verify this NPI
- Provider Name
- JEAN B BAGAZA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 242 CARROWMOORE DR PICKERINGTON, OH 43147
- Location Phone
- (515) 380-5393
- Mailing Address
- 242 CARROWMOORE DR PICKERINGTON, OH 43147
- Mailing Phone
- (515) 380-5393
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-04-2023
- Last Update Date
- 09-04-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Intellectual and Developmental Disabilities
- Taxonomy Code
- 103TM1800X
- Type
- Behavioral Health & Social Service Providers
- License State
- OH
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | (OH) |
| 2 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386420503, enumerated as an "individual" on September 04, 2023.
The provider is located at 242 CARROWMOORE DR PICKERINGTON, OH 43147 and the phone number is (515) 380-5393.
Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.
