IndividualActive
Theresa Diserio, PH.D.
NPI 1689770505 · Psychologist · Powell, OH
Provider details
- NPI number
- 1689770505
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4337 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3831 Attucks Dr
Ste B
Powell, OH 43065-6082
Phone: (614) 791-0799
Fax: (614) 791-0798
Street-level locationGet directions
Mailing address
3831 Attucks Dr
Powell, OH 43065-6082
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2017-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.