KENNA R MYCEK


Address: 27101 E Oviatt Rd, #2, Bay Village, OH 44140-3307
Phone: 2165340907

KENNA R MYCEK (NPI# 1063950269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063950269
Entity Type Organization
Organization Name KENNA R MYCEK
Practice Address 27101 E Oviatt Rd
#2
Bay Village
OH 44140-3307
Practice Telephone 2165340907
Mailing Telephone 2165340907
Enumeration Date 2017-02-08
Last Update Date 2017-02-08
Authorized Official Name KENNA MYCEK (AUTHORIZED OFFICIAL)
Authorized Official Telephone 2165340907
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
RW689718 OH Behavioral Health & Social Service Providers

Office Location

Street Address 27101 E OVIATT RD
#2
City BAY VILLAGE
State OH
Zip Code 44140-3307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134754476 Caring Angels Home Care LLC In Home Supportive Care 27101 E Oviatt Rd, Unit 11, Bay Village, OH 44140 2020-03-06
1437791910 Center for Compassionate Healing, LLC Registered Nurse 27101 E Oviatt Rd, Bay Village, OH 44140-3307 2019-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295022499 Joel Sage Contractor 485 Walmar Drive, Bay Village, OH 44140 2011-07-08
1659488096 Diana A Kyrkos Dentist 660 Dover Center Rd Ste 122, Bay Village, OH 44140 2006-08-23
1467489856 David J Francati Dds Sherry L Waters Dds LLC Dentist 660 Dover Center, Bay Village, OH 44140 2006-06-28
1750386975 Shella Farooki Specialist 27005 Knickerbocker Rd Ste 100, Bay Village, OH 44140 2005-06-15
1144735499 Accessible Home Consultants, LLC Durable Medical Equipment & Medical Supplies 485 Walmar Drive, Bay Village, OH 44140 2017-12-08
1073889267 Shamima Y Ahmed Radiology 27005 Knickerbocker Rd Ste 100, Bay Village, OH 44140 2012-04-01
1174963946 Early Intervention Consulting LLC Behavioral Analyst 315 Tanglewood Ln, Bay Village, OH 44140-1130 2013-06-26
1578108833 Kayla Coffman Behavior Technician 315 Tanglewood Ln, Bay Village, OH 44140-1130 2019-11-11
1760023907 Amanda Marie Haynes Behavior Technician 315 Tanglewood Ln, Bay Village, OH 44140-1130 2019-09-29
1124679410 Crystal Jones Behavior Technician 315 Tanglewood Ln, Bay Village, OH 44140-1130 2019-09-27
Find all providers in zip 44140

Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295398683 Clayton Houston Allred Psychologist 2150 W Central Ave # Level2, Toledo, OH 43606-3834 2019-04-21
1790255669 Cooper Jordan Roubic Psychologist 10802 Forest St Apt 22, Garrettsville, OH 44231-1077 2018-12-04
1063885853 Sevenp Health Care Services, Inc. Psychologist 733 W Market St Ste B5a, Akron, OH 44303-1009 2015-11-03
1568852390 Cleveland Arts & Social Sciences Academy Psychologist 10701 Shaker Blvd, Cleveland, OH 44104 2015-02-02
1588099311 Alana Delores Lopez Psychologist 1611 S Green Rd Ste 35, South Euclid, OH 44121-4128 2013-09-11
1225471238 Megan Elizabeth Narad Psychologist 3333 Burnet Ave Ml 3015, Cincinnati, OH 45229 2013-04-09
1407105596 Rebecca Wasserman Lieb Psychologist 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 2012-09-05
1720398027 Center for Behavioral Medicine Inc Psychologist 19111 Detroit Rd Ste 103, Rocky River, OH 44116-1740 2010-10-20
1972817104 Kimberly Stark, Psyd, LLC Psychologist 1339 1/2 Mount Vernon Ave, Marion, OH 43302-5626 2010-07-29
1720305915 Tara N Tozzi Psychologist 56 Milford Dr Ste 308, Hudson, OH 44236-2767 2010-04-27
Find all providers with the same taxonomy

Competitor

Search similar providers

City BAY VILLAGE
Zip Code 44140

Improve Information

Please comment or provide details below to improve the information on KENNA R MYCEK.

Dataset Information

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.

Trending Searches