DR. PAUL D. ENTNER (PHD) – Clinical Psychologist, NPI 1225055965

DR. PAUL D. ENTNER (PHD) is a healthcare provider. based in Centerville, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2537 (OH). The NPI Number for DR. PAUL D. ENTNER (PHD) is 1225055965

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL D. ENTNER (PHD)
NPI
1225055965
Phone
(937) 434-0540
Address
175 S MAIN ST
Enumeration Date
17 July 2006
Last Update Date
30 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374340540
Graduation Year
1976 (50 years ago)
PAC ID
8820021140
Group Practice PAC ID
4880024843
Professional Enrollment ID
I20080122000326
Address ID
OH454582372CE175XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for DR. PAUL D. ENTNER (PHD)

  • 175, South Main Street, Centerville, Barnstable, Barnstable County, Massachusetts, 02632, United States

    CENTERVILLE, OH 454582377

    Phone: (937) 434-0540

    Fax: (937) 434-6726

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080122000326IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour14025$0
90791Psychiatric diagnostic evaluation1211$0
View full utilization report →

Insurance plans in this area (ZIP 45458)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880024843View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical PsychologistOH
Mental Health CounselorOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What number should I use to identify DR. PAUL D. ENTNER (PHD) for billing?
Administrative and clinical systems typically use NPI 1225055965 for DR. PAUL D. ENTNER (PHD).
Does the public listing show DR. PAUL D. ENTNER (PHD) as active?
DR. PAUL D. ENTNER (PHD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. PAUL D. ENTNER (PHD)?
NPPES ties DR. PAUL D. ENTNER (PHD) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. PAUL D. ENTNER (PHD)?
DR. PAUL D. ENTNER (PHD) shows a connection to Centerville, Ohio in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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