MR. DOUGLAS CRUSH (NPI# 1043271182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043271182 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS CRUSH |
| Credential | PH.D |
| Practice Address |
1934 Niles Cortland Rd Ne Ste B Warren OH 44484-1055 |
| Mailing Address |
2980 Belmont Ave Youngstown OH 44505-1834 |
| Practice Telephone | 3308414032 |
| Practice Fax Number | 3308414381 |
| Mailing Telephone | 3307592310 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2309 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11580809 | 01 | |
| OH | BWC HOWLAND OFFICE | 1811041684 | 01 |
| OH | 0332063 | 05 | |
| OH | BWC WARREN OFFICE | 1487790028 | 01 |
| OH | UNISYS | 3810004016 | 01 |
| Street Address |
1934 NILES CORTLAND RD NE STE B |
| City | WARREN |
| State | OH |
| Zip Code | 44484-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558380675 | The Surgery Center, Howland | Clinic/Center | 1934 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2006-07-19 |
| 1619920121 | Jill A Pirtz | Nurse Anesthetist, Certified Registered | 1934 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2006-05-18 |
| 1316997075 | M Jean Durandetta | Nurse Anesthetist, Certified Registered | 1934 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061879 | Katrine Kirk | Psychologist | 334 Roxbury Mountain Road, Warren, VT 05674 | 2020-07-31 |
| 1578184131 | Transcend Psychological Services, P.l.l.c | Psychologist | 28767 Ryan Rd, Warren, MI 48092-2518 | 2020-05-05 |
| 1245733195 | Martha A Torres | Psychologist | 112 Town Center Dr, Warren, NJ 07059-2650 | 2018-03-16 |
| 1366805368 | Adam Cole Lorincz | Psychologist | 28871 Aline Dr, Warren, MI 48093-2690 | 2016-03-29 |
| 1992168983 | Ascension Eastwood Behavioral Health | Psychologist | 11270 E 13 Mile Rd Ste 2, Warren, MI 48093-2599 | 2016-03-29 |
| 1427365964 | Beatrice Schwarzkopf | Psychologist | 100 Old Stirling Rd, Warren, NJ 07059-5819 | 2010-09-03 |
| 1205160934 | Gerald E Poirier | Psychologist | 11022 Sunburst Ave, Warren, MI 48089-1040 | 2009-09-29 |
| 1427294255 | Tammy Dorraine Hays | Psychologist | 590 County Road 4810, Warren, TX 77664-6494 | 2008-12-29 |
| 1538351051 | Kenneth Axelrad | Psychologist | 27472 Schoenherr Rd Ste 105, Warren, MI 48088-6687 | 2007-08-17 |
| 1770797086 | Ronald Raymond Zelazowski | Psychologist | 315 Second Avenue, Ste 209, Warren, PA 16365-2434 | 2007-05-09 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.