GLOVAN POLLAK AND ASSOCIATES LLC (NPI# 1104398312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104398312 |
Entity Type | Organization |
Organization Name | GLOVAN POLLAK AND ASSOCIATES LLC |
Practice Address |
8224 Mentor Ave Ste 208 Mentor OH 44060-5743 |
Practice Telephone | 4403922222 |
Practice Fax Number | 4405652349 |
Mailing Telephone | 4403922222 |
Mailing Fax Number | 4405652349 |
Enumeration Date | 2018-12-28 |
Last Update Date | 2018-12-28 |
Authorized Official Name | MS. KATHERINE LONG (CREDENTIALING) |
Authorized Official Telephone | 4403922222 |
Is Organization Subpart | Y |
Parent Organization Name | GLOVAN POLLAK AND ASSOCIATES LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
The Behavioral Wellness Group | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538631445 | Glovan Pollak and Associates LLC | Community/Behavioral Health | 8224 Mentor Ave Ste 208, Mentor, OH 44060-5743 | 2018-12-18 |
1467872689 | Glovan Pollak and Associates LLC | Social Worker | 8224 Mentor Ave, Suite 208, Mentor, OH 44060 | 2014-04-27 |
Street Address |
8224 MENTOR AVE STE 208 |
City | MENTOR |
State | OH |
Zip Code | 44060-5743 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790021384 | Elena Zagarskas | Counselor | 8224 Mentor Ave Ste 208, Mentor, OH 44060-5743 | 2012-12-31 |
1477160497 | Erin Kay Kotkowski | Psychologist | 8224 Mentor Ave Ste 208, Mentor, OH 44060-5743 | 2020-09-24 |
1538631445 | Glovan Pollak and Associates LLC | Community/Behavioral Health | 8224 Mentor Ave Ste 208, Mentor, OH 44060-5743 | 2018-12-18 |
1932639895 | Elizabeth Carrie Kisela | Student in an Organized Health Care Education/Training Program | 8224 Mentor Ave Ste 208, Mentor, OH 44060-5743 | 2017-06-14 |
1073041935 | Kristin Nicole Tracy | Social Worker | 8224 Mentor Ave Ste 208, Mentor, OH 44060-5743 | 2017-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
Find all providers in zip 44060 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669013934 | A Space for Healing | Community/Behavioral Health | 8353 Mentor Ave, Mentor, OH 44060-5756 | 2019-10-08 |
1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
1053661538 | Access Psycho-social Services Inc. | Community/Behavioral Health | 7784 Reynolds Place, Suite 213, Mentor, OH 44060-5321 | 2012-09-12 |
1477169480 | Kailee Morgan Thomas | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-09-16 |
1487268801 | Anthony Patrick Genovese | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-09-02 |
1336753987 | Kaitlin Lynch | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-09-01 |
1063026813 | Lucia A Marinu | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-08-31 |
1174136279 | Kyle Clawson | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-08-28 |
1336752435 | Kelsey Saywell | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-08-28 |
1669085668 | Melanie Pattison | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-08-28 |
Find all providers in MENTOR |
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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.