Independent US Healthcare Provider Directory & Public Medical Database
🏥
Active NPI 1720583776 Organization (Entity Type 2)

Square North Practice

Psychologist - Clinical • Bryan, OH

About Square North Practice NPI 1720583776 Summary

Square North Practice is a verified healthcare organization specializing in Psychologist - Clinical operating in Bryan, OH. Located at 126 N MAIN ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1720583776.

Administrative operations and authorized compliance are overseen by Judith Guess (Clinical Psychologist/Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

126 N Main St

Bryan, OH 435061316

Telephone 4196305430
Fax 4197542215

Authorized Official Information

Authorized Contact Name

DR. Judith Guess , PHD

Title / Role

Clinical Psychologist/owner

Official Telephone

4196305430

Facility Classifications & Specialties

Psychologist - Clinical Primary Taxonomy

NUCC Taxonomy Code: 103TC0700X

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Psychologist

Bryan, OH

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active March 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2018

Registered at 126 N MAIN ST, BRYAN, OH 435061316 (Tel: 4196305430)

📍
Updated Business Mailing Address March 29, 2018

Registered at 126 N MAIN ST, BRYAN, OH 435061316 (Tel: 4196305430)

🏛️
Organization / Clinic Name Updated March 29, 2018

Operating as SQUARE NORTH PRACTICE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2018

Psychologist (License #6910 in OH)

🟢
Initial NPI Registration & Enumeration March 29, 2018

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews
No reviews submitted yet for Square North Practice. Be the first to share your experience with this healthcare facility!
Have you visited Square North Practice? Sign in to your TRUE-MEDINFO account to submit a rating and review.
Sign In to Write a Review →

NPI Organization Metadata

NPI Number: 1720583776
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 29, 2018
Last Update: February 16, 2021

Mailing Address

126 N Main St

Bryan, OH 435061316

Phone: 4196305430

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.