Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1710088646 Deactivated / Inactive NPI Male Practitioner

Dr. Herman Fred Koenig , PhD

Psychologist • Canton, OH

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Herman Koenig has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 25, 2006
NPI Deactivation Date May 25, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Herman Koenig, PhD was a registered Psychologist practicing in Canton, OH. Throughout an active medical career spanning 12 years, Dr. Koenig provided care at the practice location at VA OUTPATIENT CLINIC until profile deactivation on 2018-05-25.

Practice Location & Contact Primary Location

Practice Address

Va Outpatient Clinic
733 Market Ave South

Canton, OH 44702

Telephone 3304894600
Fax 3304894567
Associated Practice Facility / Clinic
🏢 Veterans Administration Facility NPI 1366536393

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.3 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Canton, OH (1639 Statewide)

Telehealth Adoption Rate
27.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OH 1718

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nicole Ady , LPN

Licensed Practical Nurse

NPI 1013627678

Licensed Practical Nurse

John Peterson , LISW, CDCA

Social Worker - Clinical

NPI 1023464682

Licensed Independent Social Worker, Chemical Dependency Counselor Assistant

Heather Donohue , RN

Registered Nurse - Ambulatory Care

NPI 1043921497

Registered Nurse

Kevin Crooks , LPN

Licensed Practical Nurse

NPI 1053021675

Licensed Practical Nurse

Dr. Tracie Baker , PhD

Psychologist - Clinical

NPI 1053541052

Doctor of Philosophy (Ph.D.)

Denise Siegfried , LPN

Licensed Practical Nurse

NPI 1063122885

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated May 25, 2018

Record deactivated on May 25, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at VA OUTPATIENT CLINIC, 733 MARKET AVE SOUTH, CANTON, OH 44702 (Tel: 3304894600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 733 MARKET AVE SOUTH, CANTON, OH 44702 (Tel: 3304894600)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HERMAN KOENIG, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #1718 in OH)

🟢
Initial NPI Registration & Enumeration September 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Herman Koenig. Be the first to share your experience!

Sign in to leave a review for Dr. Herman Koenig

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1710088646
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: July 08, 2007
Deactivation Date: May 25, 2018

Mailing Address

733 Market Ave South

Canton, OH 44702

Phone: 3304894600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.