DWAYNE TIMOTHY COON PH.D.
NPI 1699963595
Psychologist in Columbus, OH

Active since October 05, 2007PECOS Enrolled
2200 W BROAD ST, COLUMBUS, OH 43223(614) 752-0333 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dwayne Timothy Coon Ph.d. NPPES

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

DWAYNE TIMOTHY COON PH.D. (NPI 1699963595) is an individual psychologist in Columbus, Ohio, licensed in Ohio (6527) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699963595
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDWAYNE TIMOTHY COONCredential: PH.D.
Location Address2200 W BROAD STColumbus, OH 43223-1297
Mailing Address2200 W Broad StColumbus, OH 43223-1297 · (614) 752-0333
Sole ProprietorNo
Enumeration DateOctober 5, 2007
Last NPPES UpdateMarch 12, 2009
✔ NPI 1699963595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in OH · 6527
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2200 W BROAD ST, Columbus, OH 43223

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dwayne Timothy Coon Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dwayne Coon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric Hospital
2200 W BROAD ST
Columbus, OH 43223
  • Reassigned Medicare billing, Ohio enrollment
  • 263 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
2200 W BROAD ST
COLUMBUS, OH 43223
Social Worker
2200 W BROAD ST
COLUMBUS, OH 43223
Psychiatry & Neurology (Psychiatry)
2200 W BROAD ST
COLUMBUS, OH 43223
Psychiatry & Neurology (Psychiatry)
2200 W BROAD ST
COLUMBUS, OH 43223
Psychiatry & Neurology (Psychiatry)
2200 W BROAD ST
COLUMBUS, OH 43223
Psychologist
2200 W BROAD ST
COLUMBUS, OH 43223
Psychiatry & Neurology (Psychiatry)
2200 W BROAD ST
COLUMBUS, OH 43223
Nurse Practitioner (Psychiatric/Mental Health)
2200 W BROAD ST
COLUMBUS, OH 43223

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 Dwayne Coon's NPI number?

The NPI number for Dwayne Coon is 1699963595. It was assigned to this individual provider in the NPPES registry on October 5, 2007.

Where is Dwayne Coon located?

Dwayne Coon practices at 2200 W Broad St, Columbus, OH 43223. The listed phone number is (614) 752-0333.

What is Dwayne Coon's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Dwayne Coon enrolled in Medicare?

Yes. Dwayne Coon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dwayne Coon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dwayne Coon reassigns Medicare benefits to State Of Ohio Office Of Budget And Management State Accounting (Columbus, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dwayne Coon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dwayne Coon was last updated on March 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.