Healthcare Provider Details

I. General information

NPI: 1306069414
Provider Name (Legal Business Name): TELL PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1794 SUTTON PL
NEWARK OH
43055-9093
US

IV. Provider business mailing address

PO BOX 454
GRANVILLE OH
43023-0454
US

V. Phone/Fax

Practice location:
  • Phone: 614-354-6336
  • Fax: 886-288-9319
Mailing address:
  • Phone: 614-354-6336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6002
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number5891
License Number StateOH

VIII. Authorized Official

Name: DR. JEANNINE KRUPINSKI TELL
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 614-354-6336