DR. JEFFREY MADDEN PH.D. NPI 1356350037

NPI Information

NPI: 1356350037
Provider Name: DR. JEFFREY MADDEN, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3555 OLENTANGY RIVER RD
SUITE 2020
COLUMBUS, OH
ZIP 43214
Phone: (614) 566-1190
Get Directions

DR. Jeffrey Madden, PH.D. is a clinical neuropsychologist in Columbus, OH. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Jeffrey Madden, PH.D. NPI is 1356350037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3555 OLENTANGY RIVER RD
SUITE 2020
COLUMBUS, OH
ZIP 43214-912
Phone: (614) 566-1190
Fax: (614) 566-1191

The NPI 1356350037 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/5/2006 and was last updated on 5/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		4429	OHIO	No
2	103TR0400X	Psychologist	Rehabilitation	4429	OHIO	No
3	103G00000X	Clinical Neuropsychologist		4429	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	H176730	MEDICARE PIN	OHIO
2	0846259	MEDICAID	OHIO
3	MACP10081	MEDICARE ID-TYPE UNSPECIFIED	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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