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Robert Nathan Ilagan , GRADUATE STUDENT

Psychologist β€’ Moraine, OH

Active NPI 1194330035 Individual Practitioner Male Practitioner
Practice location in NPPES

3095 Kettering Blvd
Moraine, OH 45439

Call 9372938300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3095 Kettering Blvd

Moraine, OH 45439

Telephone 9372938300
Organization at the Same NPPES Address or Phone
South Community Inc Facility NPI 1639128176

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Dayton, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Moraine and Ohio

5 active clinicians are listed under Psychologist with a practice address in Moraine, OH (1,531 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-05
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

3640 Colonel Glenn Hwy

Dayton, OH 454350001

Phone: 9377751000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Susan Songer , MD

Psychiatry & Neurology - Psychiatry

NPI 1033276597

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 05, 2024

Registered at 3095 KETTERING BLVD, MORAINE, OH 45439 (Tel: 9372938300)

πŸ“
Updated Business Mailing Address June 05, 2024

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9372938300)

βœ…
NPI Profile Active September 08, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 08, 2020

Registered at 3640 COLONEL GLENN HWY, DAYTON, OH 454350001 (Tel: 9377751000)

πŸ“
Business Mailing Address (Initial Record) September 08, 2020

Registered at 1223 STEINBECK WAY APT B, FAIRBORN, OH 453248726

πŸ‘€
Provider Name / Credentials (Initial Record) September 08, 2020

Recorded as ROBERT ILAGAN, GRADUATE STUDENT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2020

Psychologist

🟒
Initial NPI Registration & Enumeration September 08, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194330035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2020
Last Update: June 05, 2024
Sole Proprietor: No

Mailing Address

3095 Kettering Blvd

Moraine, OH 454391983

Phone: 9372938300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.