CORNERSTONE PSYCHOLOGICAL AFFILIATES (NPI# 1275644981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275644981 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE PSYCHOLOGICAL AFFILIATES |
| Practice Address |
817 Kilbourne St Suite F Bellevue OH 44811 |
| Mailing Address |
259 Sandusky St Ashland OH 44805 |
| Practice Telephone | 4194839411 |
| Practice Fax Number | 4194839247 |
| Mailing Telephone | 4192891876 |
| Mailing Fax Number | 4192816430 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN C SHULTZ (PRESIDENT OWNER) |
| Authorized Official Telephone | 4192891876 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124139928 | Cornerstone Psychological Affiliates | Counselor | 4585 State Route 39, Hummil Bldg, Berlin, OH 44610 | 2006-08-31 |
| 1912933169 | Cornerstone Psychological Affiliates | Counselor | 9080 Leavitt Rd, Elyria, OH 44035-4210 | 2006-06-22 |
| 1396775771 | Cornerstone Psychological Affiliates | Counselor | 1221 S Trimble Rd, Suite A2, Mansfield, OH 44907 | 2006-07-03 |
| Street Address |
817 KILBOURNE ST SUITE F |
| City | BELLEVUE |
| State | OH |
| Zip Code | 44811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770082182 | Brenda Lee Bub | Case Manager/Care Coordinator | 817 Kilbourne St, Bellevue, OH 44811-9431 | 2018-02-12 |
| 1366891350 | Kate Carabin | Social Worker | 817 Kilbourne St, Suite G, Bellevue, OH 44811-9431 | 2016-06-09 |
| 1598114506 | Shelley Burns | Social Worker | 817 Kilbourne St, Suite G, Bellevue, OH 44811-9431 | 2016-06-09 |
| 1407289101 | Carolyn Anne Wenner | Counselor | 817 Kilbourne St, Bellevue, OH 44811-9431 | 2013-08-16 |
| 1679905954 | Amy Spell | Counselor | 817 Kilbourne St, Bellevue, OH 44811-9431 | 2013-08-08 |
| 1457602260 | Jackie L White | Counselor | 817 Kilbourne St, Bellevue, OH 44811-9431 | 2012-09-20 |
| 1225200611 | Cornerstone Counseling of Bellevue, LLC | Counselor | 817 Kilbourne St, Suite G, Bellevue, OH 44811-9431 | 2008-03-26 |
| 1861605933 | Eilleen A Goodman | Counselor | 817 Kilbourne St, Suite G, Bellevue, OH 44811-9431 | 2007-05-07 |
| 1780807073 | Jason S Delancey | Counselor | 817 Kilbourne St, Suite G, Bellevue, OH 44811-9431 | 2007-04-11 |
| 1114038817 | Daniel Higgins | Counselor | 817 Kilbourne St, Suite G, Bellevue, OH 44811-9431 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275979296 | Samuel Elias Ross | Family Medicine | 1255 W Main St Ste B, Bellevue, OH 44811 | 2013-05-16 |
| 1376780379 | Firelands Regional Medical Center | General Acute Care Hospital | 290 Progress Drive, Suite A, Bellevue, OH 44811 | 2009-01-13 |
| 1619195914 | Michael Barry Brunner | Pharmacist | 234 W Main Street, Bellevue, OH 44811 | 2007-04-23 |
| 1952524704 | April L Ptak | Massage Therapist | 855 West Main St, Suite E, Bellevue, OH 44811 | 2007-04-10 |
| 1215150057 | Erica Drossman | Massage Therapist | 855 West Main Street, Suite E, Bellevue, OH 44811 | 2007-04-10 |
| 1528172475 | Bhms Inc | Durable Medical Equipment & Medical Supplies | 234 West Main St, Bellevue, OH 44811 | 2006-08-18 |
| 1750494530 | Mark Allen Motley | Optometrist | 1355 West Main St, Bellevue, OH 44811 | 2006-08-16 |
| 1487675567 | Orville Rene Amburn | Family Medicine | 250 Castalia St, G, Bellevue, OH 44811 | 2006-07-22 |
| 1457320095 | Erie Surgical Associates | Surgery | 1400 West Main St, Suite D, Bellevue, OH 44811 | 2006-03-16 |
| 1326392457 | Meghan Anne Hilty | Speech-Language Pathologist | 125 North St, Bellevue, OH 44811 | 2012-10-26 |
| Find all providers in zip 44811 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931416 | Lauren Dudugjian | Counselor | 1160 140th Ave Ne Ste E-f, Bellevue, WA 98005-2978 | 2020-10-27 |
| 1760080345 | Carli Rhylander | Counselor | 2009 Nottingham Dr, Bellevue, NE 68123-2046 | 2020-10-15 |
| 1023621877 | Eileen S Putter | Counselor | 14011 Se 49th Pl, Bellevue, WA 98006-3401 | 2020-08-30 |
| 1326657164 | Tamasin Raiswell | Counselor | 1611 116th Ave Ne Ste 211, Bellevue, WA 98004-3064 | 2020-07-28 |
| 1194349415 | Le Center for Health & Wellness, Inc. | Counselor | 15015 Main St Ste 210, Bellevue, WA 98007-5229 | 2020-06-02 |
| 1447888326 | Carlos M Del Rio | Counselor | 4009 Raynor Pkwy Apt 2120, Bellevue, NE 68123-6103 | 2020-03-27 |
| 1386270221 | Danthony T Smith | Counselor | 10608 Ne 2nd St, Bellevue, WA 98004-5157 | 2020-03-22 |
| 1538708169 | Anna L Redgrave | Counselor | 15659 Se 9th St, Bellevue, WA 98008-4901 | 2019-12-30 |
| 1508401142 | Jennifer Flores | Counselor | 3145 Whiteman Dr, Bellevue, NE 68123-1625 | 2019-11-07 |
| 1861037467 | Alyssa Rose Overton | Counselor | 1231 116th Ave Ne Ste 410, Bellevue, WA 98004-3804 | 2019-11-07 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on CORNERSTONE PSYCHOLOGICAL AFFILIATES.
| 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.