PREMIER BEHAVIORAL HEALTH SERVICES, LLC (NPI# 1184869786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184869786 |
| Entity Type | Organization |
| Organization Name | PREMIER BEHAVIORAL HEALTH SERVICES, LLC |
| Practice Address |
8701 Mentor Ave Mentor OH 44060-6103 |
| Practice Telephone | 4402660770 |
| Practice Fax Number | 4402660257 |
| Mailing Telephone | 4402660770 |
| Mailing Fax Number | 4402660257 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | ROBERTA URSETTI (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 4402660770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35-048125 | OH | Allopathic & Osteopathic Physicians |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6237 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2923064 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295224822 | Premier Behavioral Health Services, LLC | Clinic/Center | 15800 Pines Blvd Ste 300, Pembroke Pines, FL 33027-1212 | 2018-05-09 |
| Street Address |
8701 MENTOR AVE |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144293267 | Bahman Yamini Sharif | Psychiatry & Neurology | 8701 Mentor Ave, Mentor, OH 44060 | 2006-02-09 |
| 1306317623 | Yiannoula Sarris | Counselor | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2018-12-14 |
| 1982174702 | Natalie Grandy | Psychologist | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2018-12-05 |
| 1609352277 | Staci Tessmer | Counselor | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2018-07-17 |
| 1174078638 | Jenniviere Homitz-daniels | Nurse Practitioner | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2016-08-24 |
| 1679938500 | Paul Homitz-daniels | Registered Nurse | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2015-12-18 |
| 1154790418 | Ryan Mekota | Clinical Neuropsychologist | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2015-09-16 |
| 1649653973 | Justin L Monty | Social Worker | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2015-07-06 |
| 1669868006 | Jude Chamberlain | Psychologist | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2015-04-13 |
| 1578965109 | Anthony Mcmahon | Psychologist | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2014-09-26 |
| Find all providers in the same location | ||||
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285744276 | Elizabeth Blair Wyatt | Psychologist | 8039 Broadmoor Rd, #15, Mentor, OH 44060 | 2006-08-30 |
| 1679501563 | Mary Schaffer | Psychologist | 6817 Kirkwood Dr, Mentor, OH 44060-4205 | 2006-06-29 |
| 1801837018 | Don Martin | Psychologist | 8472 Lake Shore Blvd, Mentor, OH 44060-1515 | 2006-06-09 |
| 1669868006 | Jude Chamberlain | Psychologist | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2015-04-13 |
| 1023352028 | Ohio Geriatric Psychological Services Inc | Psychologist | 6817 Kirkwood Dr, Mentor, OH 44060-4205 | 2012-11-15 |
| 1407176605 | Elizabeth B Wyatt Phd Inc | Psychologist | 8039 Broadmoor Rd, Suite 15, Mentor, OH 44060-7577 | 2010-06-10 |
| 1285850180 | Douglas Waltman | Psychologist | 9002 Mentor Ave, Mentor, OH 44060-6302 | 2007-04-18 |
| 1255491908 | Belinda J. Torres, Ph.d., LLC | Psychologist | 9614 Old Johnnycake Ridge Rd, Mentor, OH 44060-6521 | 2006-12-11 |
| 1891880522 | Kent Alan Young | Psychologist | 9500 Mentor Ave, Suite 320, Mentor, OH 44060 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235408 | Kearisten Gaines | Psychologist | 1155 Niles Cortland Rd Se Ste 2, Warren, OH 44484-2542 | 2020-11-04 |
| 1124628409 | Maya Kemi Akinfosile | Psychologist | 2910 W 12th St Apt Up, Cleveland, OH 44113-5212 | 2020-10-27 |
| 1285245522 | Epiphany Psychotherapy & Consultation, LLC | Psychologist | 341 S 3rd St Ste 100-344, Columbus, OH 43215-5463 | 2020-08-11 |
| 1578180782 | Constructive Alternatives, LLC | Psychologist | 24300 Chagrin Blvd Ste 309, Beachwood, OH 44122-5629 | 2020-07-03 |
| 1932729746 | Transformations Psychological Services, LLC | Psychologist | 167 S State St Ste 80, Westerville, OH 43081-2236 | 2020-04-22 |
| 1194359216 | Kathrin A Koehler | Psychologist | 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 | 2020-02-27 |
| 1750914990 | Joshua B. Grubbs | Psychologist | 822 E Merry Psychology Building Suite 300, Bowling Green, OH 43403-0001 | 2020-02-17 |
| 1013540533 | Guy P Rowinski | Psychologist | 6099 Riverside Dr Ste 100, Dublin, OH 43017-2004 | 2020-02-13 |
| 1992346217 | Terrace Metrics, Inc. | Psychologist | 1122 Herschel Ave, Cincinnati, OH 45208-3113 | 2019-10-08 |
| 1275184723 | Reset Button Counseling LLC | Psychologist | 4041 N High St Ste 300l, Columbus, OH 43214-3200 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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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.