Healthcare Provider Details

I. General information

NPI: 1346165677
Provider Name (Legal Business Name): ANGELA KLADIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

936 EASTWIND DR
WESTERVILLE OH
43081-3329
US

IV. Provider business mailing address

18239 HOPEWELL RD
MOUNT VERNON OH
43050-9512
US

V. Phone/Fax

Practice location:
  • Phone: 614-797-5700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.00934
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: