COURTNEY L HOLBROOK (NPI# 1063595585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063595585 |
| Entity Type | Individual |
| Full Name | COURTNEY L HOLBROOK |
| Credential | PH.D. |
| Practice Address |
2322 E 22nd St Suite 207 Cleveland OH 44115-3176 |
| Mailing Address |
Po Box 22958 Cleveland OH 44122-0958 |
| Practice Telephone | 2165922801 |
| Practice Fax Number | 2165922811 |
| Mailing Telephone | 2165959600 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 5457 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578046579 | Courtney Holbrook | Social Worker | 2418 E Hintz Rd, Arlington Heights, IL 60004-2204 | 2018-09-14 |
| Street Address |
2322 E 22ND ST SUITE 207 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-3176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763393 | Marc A. Abrams | Specialist | 2322 E 22nd St, Suite 102, Cleveland, OH 44115-3176 | 2005-07-14 |
| 1417318809 | Premier Physicians Centers, Inc. | Durable Medical Equipment & Medical Supplies | 2322 E 22nd St, Suite 310, Cleveland, OH 44115-3176 | 2016-03-11 |
| 1477913671 | Linn Leclair | Physician Assistant | 2322 E 22nd St, Cleveland, OH 44115-3176 | 2016-03-01 |
| 1952760977 | Michael Gype | Physician Assistant | 2322 E 22nd St, Suite 207, Cleveland, OH 44115-3176 | 2016-02-18 |
| 1316318371 | Cardioplus LLC | Internal Medicine | 2322 E 22nd St, Ste 306, Cleveland, OH 44115-3176 | 2015-10-15 |
| 1053724492 | Jennifer Josefina Del Rio | Dietitian, Registered | 2322 E 22nd St, Suite 207, Cleveland, OH 44115-3176 | 2014-06-03 |
| 1316295884 | Mjjd Spine Group, Ltd | Chiropractor | 2322 E 22nd St, Suite 302, Cleveland, OH 44115-3176 | 2012-08-15 |
| 1356650493 | Outreach Professional Service, Inc. | Internal Medicine | 2322 E 22nd St, Suite 310, Cleveland, OH 44115-3176 | 2010-10-06 |
| 1831333574 | Therese Conway Moltz | Physician Assistant | 2322 E 22nd St, Cleveland, OH 44115-3176 | 2009-04-24 |
| 1073785309 | I M Sonpal Md Inc | Surgery | 2322 E 22nd St, Suite 207, Cleveland, OH 44115-3176 | 2008-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
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| 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 |
|---|---|---|---|---|
| 1164085106 | Cherish Marie Brooks | Psychologist | 1103 Crescent Blvd, Cleveland, TX 77327-5214 | 2019-04-16 |
| 1336600253 | Asian Services In Action Inc | Psychologist | 2999 Payne Ave Ste 140, Cleveland, OH 44114-4436 | 2019-03-26 |
| 1760962401 | Brent Lamar Holt | Psychologist | 6701 Madison Ave, Cleveland, OH 44102-4035 | 2018-08-21 |
| 1700304201 | Kelly Martincin | Psychologist | 10701 East Blvd # 116w, Cleveland, OH 44106-1702 | 2017-09-05 |
| 1306364856 | Darcy Mandell | Psychologist | 9500 Euclid Ave # C-21, Cleveland, OH 44195-0001 | 2017-09-05 |
| 1871952051 | Robert Denton | Psychologist | 14100 Cedar Rd Ste 100, Cleveland, OH 44121-3234 | 2016-02-17 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1386045193 | Nicholas P Gallo | Psychologist | 2675 East 30th Street, Nerc, Cleveland, OH 44115-4115 | 2014-09-11 |
| 1861837999 | Marilyn Janisse Mercado Giusti | Psychologist | 2712 Villa Dr Nw, Apt B, Cleveland, TN 37312-1958 | 2013-05-02 |
| 1083986186 | Linder G Howze | Psychologist | 1501 Ferris Dr, Cleveland, MS 38732-2943 | 2012-02-04 |
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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.