Provider Demographics
NPI:1952095945
Name:COMPASS PSYCHOLOGICAL TESTING AND EVALUATION
Entity Type:Organization
Organization Name:COMPASS PSYCHOLOGICAL TESTING AND EVALUATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER; CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRICKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-515-2663
Mailing Address - Street 1:150 E BECK ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-1113
Mailing Address - Country:US
Mailing Address - Phone:317-363-9448
Mailing Address - Fax:
Practice Address - Street 1:4131 WORTH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-6282
Practice Address - Country:US
Practice Address - Phone:614-515-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty