CHARLES ROSS (NPI# 1255715918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255715918 |
| Entity Type | Individual |
| Full Name | CHARLES ROSS |
| Credential | PHD |
| Practice Address |
2115 W Park Dr Lorain OH 44053-1138 |
| Practice Telephone | 4409894922 |
| Practice Fax Number | 4402824779 |
| Mailing Telephone | 4409894922 |
| Mailing Fax Number | 4402824779 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2893 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699919795 | Charles J Ross | Military Health Care Provider | 5809 Ivanhoe Ct Apt 18, Fayetteville, NC 28314-4461 | 2009-04-21 |
| 1225156102 | Charles Albert Ross | Dentist | 3706 Mercer University Drive, Suite 7 Mission Square, Macon, GA 31204 | 2007-03-27 |
| 1619046729 | Charles Ross | Family Medicine | 726 S Cockrell Hill Rd, Duncanville, TX 75137-2620 | 2006-11-06 |
| 1588742480 | Charles Stephen Ross | Dentist | 1031 Little E Neck Rd, W Babylon, NY 11704-2403 | 2006-11-01 |
| 1326044330 | Charles B. Ross | Surgery | 95 Collier Road, Suite 5015, Atlanta, GA 30309 | 2005-06-23 |
| 1144634866 | Charles Ross Jr. | Counselor | 7310 Woodward Ave, Suite 601, Detroit, MI 48202-3165 | 2014-06-20 |
| 1982046538 | Charles Tyler Ross | Pharmacist | 1600 N Main St, Tarboro, NC 27886-2522 | 2013-07-24 |
| 1306005137 | Charles Aaron Ross | Family Medicine | 1335 E Center St, Suite 1, Kingsport, TN 37664-2489 | 2008-06-06 |
| 1972710283 | Charles William Ross | Family Medicine | 97 W Parkway, Pompton Plains, NJ 07444-1647 | 2007-05-17 |
| 1619095882 | Charles James Ross Jr. | Pharmacist | 3705 5th Ave, Pittsburgh, PA 15213-2584 | 2007-03-27 |
| Street Address |
2115 W PARK DR |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912930314 | Lorain County Alcohol & Drug Abuse Services, Inc. | Substance Abuse Rehabilitation Facility | 2115 W Park Dr, Lorain, OH 44053-1138 | 2006-07-09 |
| 1215548185 | Alyssa L Tennant | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-08-13 |
| 1881217545 | Daniel Laurence Gainer | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-05-28 |
| 1962032433 | Nathan A Boggs | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-01-23 |
| 1609415157 | Laura K Zannoni | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-01-02 |
| 1992343404 | Amber Stottlemire | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-12-16 |
| 1861039984 | Danielle N Hommel | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-12-09 |
| 1457994428 | Megan Eaton | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-10-23 |
| 1164065256 | Tyleeta J Madison | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-10-22 |
| 1659931863 | Shannon K Twining | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| 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 |
|---|---|---|---|---|
| 1659463149 | Rebecca Serazin | Psychologist | 2350 Pole Ave, Lorain, OH 44052-4301 | 2006-09-29 |
| 1619987112 | Thomas F Zeck Phd & Associatess | Psychologist | 1740 Cooper Foster Park Road, Lorain, OH 44053-4201 | 2006-08-08 |
| 1437568755 | Lisa Montag | Psychologist | 4700 Broadway, Lorain, OH 44052-5542 | 2014-08-12 |
| 1114965811 | Douglas Lee Md Inc | Psychologist | 1930 Reid Ave, Lorain, OH 44052-3771 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184244 | Works of Faith Wellness and Consultation, LLC | Psychologist | 867 Mosaic Ct, Columbus, OH 43230-3835 | 2020-11-02 |
| 1740896711 | Shalin Shah | Psychologist | 2312 Ohio Ave Apt 131, Cincinnati, OH 45219-1630 | 2020-09-16 |
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1184241655 | Laura L Moncrief, Psy.d., LLC | Psychologist | 7155 Pearl Rd Ste 102, Middleburg Heights, OH 44130-4945 | 2020-07-01 |
| 1043834971 | Tycie Alcorn | Psychologist | 1415 Oak Hill Ct Apt 50, Toledo, OH 43614-2544 | 2020-06-06 |
| 1912520065 | Tracey King | Psychologist | 726 E Main St Ste F210, Lebanon, OH 45036-1900 | 2020-05-24 |
| 1811517964 | Susan Frances Folger | Psychologist | 5071 Forest Dr Ste B, New Albany, OH 43054-8181 | 2020-04-19 |
| 1740813898 | Carla Luciano Codani Hisatugo | Psychologist | 445 East Dublin Granville Rd., Worthington, OH 43085-3183 | 2020-02-18 |
| 1003456351 | Apex Neuropsychology Center LLC | Psychologist | 819 Southwestern Run #2, Poland, OH 44514 | 2020-01-14 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
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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.