John Pistello

Clinical Psychologist · Wright Patterson Afb, OH

Individual Active NPI

NPI number 1407114572

Practice location

4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529
Phone
(937) 257-6877

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NPI record

NPI
1407114572
Entity type
Individual (Type 1)
Enumeration date
April 26, 2012
Last updated
March 25, 2025
Certified
March 25, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 05518 MD

About John Pistello

John Pistello is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529. The NPI number 1407114572 was assigned on April 26, 2012 and the record was last updated on March 25, 2025.

John Pistello lists a license in the registry: #05518 (MD) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Pistello?

The NPI number is 1407114572.

What is the phone number of John Pistello?

The phone number listed for the practice location is (937) 257-6877.

Where is John Pistello located?

4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529.

What is the taxonomy code for John Pistello?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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