SOCIAL SKILLS 360 LLC (NPI# 1518574425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518574425 |
| Entity Type | Organization |
| Organization Name | SOCIAL SKILLS 360 LLC |
| Practice Address |
3042 College St Austinburg OH 44010-9745 |
| Mailing Address |
23293 Commerce Park Beachwood OH 44122-5808 |
| Practice Telephone | 2162927170 |
| Mailing Telephone | 2162927170 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | JAY BERK (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2162927170 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
3042 COLLEGE ST |
| City | AUSTINBURG |
| State | OH |
| Zip Code | 44010-9745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417405440 | Scott Lucas | Specialist/Technologist | 3042 College St, Austinburg, OH 44010-9745 | 2016-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245708858 | Brooke Kelly Bateman | Occupational Therapist | 2026 Oh-45, Austinburg, OH 44010 | 2018-11-13 |
| 1235607201 | Alexandra Kuta | Physical Therapist | 2026 Route 45, Austinburg, OH 44010 | 2018-11-08 |
| 1558378604 | Betty Jean Tranchida | Licensed Practical Nurse | 2280 Rt 307, Austinburg, OH 44010 | 2006-08-02 |
| 1801182407 | Regina Marie Espinoza | Marriage & Family Therapist | 1601 Bayshore Hwy Ste 123, Burlingame, CA 44010-1506 | 2011-06-22 |
| 1770791014 | Pamela Marie Gribbons | Registered Nurse | 3904 Ravinewood Dr, Austinburg, OH 44010-9702 | 2007-05-18 |
| 1013030287 | Joni Renae Tackett | Licensed Practical Nurse | 2042 Sexton Rd, Austinburg, OH 44010-9706 | 2007-04-10 |
| 1740284678 | Amdd,inc. | Skilled Nursing Facility | 2026 State Route 45, Austinburg, OH 44010-9711 | 2005-06-09 |
| 1346718533 | Danny Louis Pettit | Speech-Language Pathologist | 2026 State Route 45, Austinburg, OH 44010-9711 | 2018-11-06 |
| 1164916003 | Gina M Sumpter | Nurse Practitioner | 2026 State Route 45, Austinburg, OH 44010-9711 | 2018-06-14 |
| 1053565093 | Orion Austinburg LLC | Clinical Medical Laboratory | 2026 State Route 45, Austinburg, OH 44010-9711 | 2008-11-04 |
| Find all providers in zip 44010 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| 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 | ||||
| City | AUSTINBURG |
| Zip Code | 44010 |
Please comment or provide details below to improve the information on SOCIAL SKILLS 360 LLC.
| 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.