DR. JESSICA MOELLER (NPI# 1073861902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073861902 |
| Entity Type | Individual |
| Full Name | DR. JESSICA MOELLER |
| Credential | PH.D. |
| Practice Address |
161 N Forge St Ste 190 Akron OH 44304-1468 |
| Mailing Address |
Po Box 3542 Akron OH 44309-3542 |
| Practice Telephone | 3303757285 |
| Practice Fax Number | 3303756872 |
| Mailing Telephone | 3309960347 |
| Mailing Fax Number | 3309960359 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2013-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6977 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528473352 | Jessica Jane Moeller | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2014-07-01 |
| 1770845752 | Jessica Moeller | Speech-Language Pathologist | 4651 Woodstock Rd, Ste 208-202, Roswell, GA 30075-1698 | 2012-06-14 |
| Street Address |
161 N FORGE ST STE 190 |
| City | AKRON |
| State | OH |
| Zip Code | 44304-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328845 | Stephen J Andrews | Obstetrics & Gynecology | 161 N Forge St, Suite 298, Akron, OH 44304-1468 | 2005-09-29 |
| 1063864304 | Courtney Marie Nock | Physician Assistant | 161 N Forge St, Suite 298, Akron, OH 44304-1468 | 2016-07-11 |
| 1184968836 | Summa Physicians Inc | Surgery | 161 N Forge St, Suite G90, Akron, OH 44304-1468 | 2012-11-19 |
| 1669705224 | Cancer Care Center LLC | Radiology | 161 N Forge St, Suite G90, Akron, OH 44304-1468 | 2009-09-15 |
| 1639309735 | Summa Physicians Inc | Physician Assistant | 161 N Forge St, Ste. 298, Akron, OH 44304-1468 | 2009-07-23 |
| 1134368780 | Kimberly J Moeller | Clinical Nurse Specialist | 161 N Forge St, Ste. 198, Akron, OH 44304-1468 | 2009-02-05 |
| 1497904445 | Summa Physicians Inc | Internal Medicine | 161 N Forge St, Suite 198, Akron, OH 44304-1468 | 2008-09-15 |
| 1447407697 | Sameer A Mahesh | Internal Medicine | 161 N Forge St, Suite 198, Akron, OH 44304-1468 | 2008-08-19 |
| 1336315456 | Robin Laskey-jobkar | Obstetrics & Gynecology | 161 N Forge St, Suite 298, Akron, OH 44304-1468 | 2008-05-08 |
| 1104007665 | Anand Bharat Desai | Radiology | 161 N Forge St, Ste G90, Akron, OH 44304-1468 | 2007-11-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1053940916 | Priyanka Malini Ravindran | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1467081349 | Savannah Chavez | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1255960357 | Nicholas Gilliam | Student in an Organized Health Care Education/Training Program | Summa Health/psychiatry 525 E. Market Street, Akron, OH 44304 | 2020-04-02 |
| 1184252462 | Megan Carlson Ptasinski | Student in an Organized Health Care Education/Training Program | Summa Health/obgyn, 525 East Market St., Akron, OH 44304 | 2020-03-31 |
| 1871121889 | Haley Marie Coleman | Student in an Organized Health Care Education/Training Program | Summa Health/ Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-03-27 |
| 1154963387 | Andrew Tkacik | Physician Assistant | 151 N Forge St, Akron, OH 44304 | 2019-10-09 |
| 1457918328 | Brandy Deem | Counselor | 87 N Forge St, Akron, OH 44304 | 2019-05-24 |
| 1184187445 | Zoe Nastasic Jones | Student in an Organized Health Care Education/Training Program | Summa Health 525 East Market St., Akron, OH 44304 | 2019-04-12 |
| 1780147751 | Nidhi Khullar | Student in an Organized Health Care Education/Training Program | Summa Health Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2019-04-08 |
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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 |
|---|---|---|---|---|
| 1528482833 | Bradd Falkenberg | Psychologist | 65 Steiner Ave, Akron, OH 44301-1347 | 2014-02-06 |
| 1992959506 | Danelle Rebecca Fields | Psychologist | 721 Wall St, Akron, OH 44310-2942 | 2008-11-10 |
| 1831347335 | Charles Andre Christie-mizell | Psychologist | 1350 W Market St, Akron, OH 44313-7110 | 2008-09-09 |
| 1912154980 | Summit Psychological Associates, Inc. Jail | Psychologist | 205 E Crosier St, Akron, OH 44311-2351 | 2008-08-21 |
| 1710196399 | Marjorie Louise Cossin | Psychologist | 5816 Dailey Rd, Akron, OH 44319-5114 | 2007-05-21 |
| 1447373931 | Elizabeth Mazak Bard | Psychologist | 1826 S Main St, Cook Professional Building, Akron, OH 44301-2400 | 2007-04-09 |
| 1730263591 | Mildred A Wilcoxson | Psychologist | 717 S Canton Rd, Akron, OH 44312 | 2006-10-25 |
| 1013946151 | Elizabeth R. Holmes | Psychologist | 2108 Braewick Cir, Ste 202, Akron, OH 44313-6260 | 2006-07-01 |
| 1932142494 | Canice M Barnett | Psychologist | 3884 Woodthrush Rd, Akron, OH 44333-1527 | 2006-06-13 |
| 1912901976 | Thomas Orlando Hoover | Psychologist | 3090 West Market Street, Akron, OH 44334-0462 | 2005-06-08 |
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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.