Healthcare Provider Details

I. General information

NPI: 1275680001
Provider Name (Legal Business Name): PSYCHOSOCIAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 N HIGH ST
COLUMBUS GROVE OH
45830-1205
US

IV. Provider business mailing address

PO BOX 176
COLUMBUS GROVE OH
45830-0176
US

V. Phone/Fax

Practice location:
  • Phone: 419-659-5998
  • Fax: 419-659-2083
Mailing address:
  • Phone: 419-659-5998
  • Fax: 419-659-2083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BARRY MCCRATE BECKMAN
Title or Position: PRESIDENT
Credential: PSY.D.
Phone: 419-659-5998