MITCHELL WAX (NPI# 1417912510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417912510 |
| Entity Type | Individual |
| Full Name | MITCHELL WAX |
| Practice Address |
13535 Detroit Ave Ste 5 Lakewood OH 44107-4625 |
| Practice Telephone | 2162216260 |
| Mailing Telephone | 2162216260 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2017-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3036 | OH | Behavioral Health & Social Service Providers |
| Street Address |
13535 DETROIT AVE STE 5 |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972565844 | Laurence John Lembach | Podiatrist | 13535 Detroit Ave, Suite 7, Lakewood, OH 44107-4625 | 2006-04-05 |
| 1124627351 | Osfinn Dd Services LLC. | Clinic/Center | 13535 Detroit Ave, Lakewood, OH 44107-4625 | 2020-10-19 |
| 1295949816 | Nitin Govani Md PC | Internal Medicine | 13535 Detroit Ave, Suite-1, Lakewood, OH 44107-4625 | 2007-05-10 |
| 1619079050 | Nitin Govani | Internal Medicine | 13535 Detroit Ave, Suite 1, Lakewood, OH 44107 | 2006-09-05 |
| 1295843068 | Mary Alyce Kraft | Internal Medicine | 13535 Detroit Ave, Suite 5, Lakewood, OH 44107 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| 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 |
|---|---|---|---|---|
| 1194355149 | Hillary Schaefer | Psychologist | 10503 83rd Ave Sw, Lakewood, WA 98498-5662 | 2020-01-17 |
| 1538635230 | Jonathan Dio Allison | Psychologist | 3819 100th St Sw Ste 6b, Lakewood, WA 98499-4477 | 2018-10-19 |
| 1386177392 | Reine Evereteze | Psychologist | 12136 W. Bayaud Ave, Ste 140, Lakewood, CO 80228-2115 | 2017-04-06 |
| 1003353079 | Mary Hildenbrand, Ph.d., LLC | Psychologist | 1361 Gladys Ave, Lakewood, OH 44107-2511 | 2017-01-27 |
| 1447601166 | Ashley Turbeville | Psychologist | 12136 W Bayaud Ave Ste 140, Lakewood, CO 80228-2115 | 2016-06-23 |
| 1255701694 | Christina O'keefe | Psychologist | 12030 Lake Ave Apt 207, Lakewood, OH 44107-1863 | 2015-09-28 |
| 1861873499 | Allied Assessments, Inc | Psychologist | 363 S Harlan St Ste 100, Lakewood, CO 80226-3552 | 2015-06-09 |
| 1407263759 | John Hudson Mcwilliams Jr. | Psychologist | 9365 W 9th Ave, Lakewood, CO 80215-5884 | 2014-07-18 |
| 1679827265 | Fatima Ichinokuchi | Psychologist | 2007 Del Hollow St, Lakewood, CA 90712-2841 | 2012-11-03 |
| 1245580612 | Erin Gorter | Psychologist | 8805 Steilacoom Blvd. Sw, Child Study and Treatment Center, Lakewood, WA 98498-4771 | 2012-09-13 |
| Find all providers in LAKEWOOD | ||||
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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.