MR. DAVID BROCKETT (NPI# 1588162994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588162994 |
| Entity Type | Individual |
| Full Name | MR. DAVID BROCKETT |
| Credential | LPC |
| Practice Address |
20800 Westgate Mall Ste 200 Fairview Park OH 44126-1318 |
| Practice Telephone | 4403334949 |
| Mailing Telephone | 4403334949 |
| Mailing Fax Number | 4403335044 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C.1400443 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821128216 | David W Brockett | Audiologist-Hearing Aid Fitter | 3000 Nw Stewart Pkwy, Roseburg, OR 97471-1655 | 2007-03-06 |
| 1538525035 | David E Brockett | Dentist | 7776 Ivanhoe Ave Ste 100, La Jolla, CA 92037-4575 | 2016-01-13 |
| Street Address |
20800 WESTGATE MALL STE 200 |
| City | FAIRVIEW PARK |
| State | OH |
| Zip Code | 44126-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841704046 | Cassandra Morton | Counselor | 20800 Westgate Mall Ste 200, Fairview Park, OH 44126-1318 | 2017-11-27 |
| 1891180899 | Robert Elliot Cook | Counselor | 20800 Westgate Mall Ste 200, Fairview Park, OH 44126-1318 | 2015-04-06 |
| 1063850014 | Matthew Liptensky | Counselor | 20800 Westgate Mall Ste 200, Fairview Park, OH 44126-1318 | 2013-06-12 |
| 1972888956 | Renata Marie Kadlcek | Nurse Practitioner | 20800 Westgate Mall Ste 200, Fairview Park, OH 44126-1318 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031506 | Robert Hutman Leathers | Home Health Aide | 22371 Lorain Road, Fairview Park, OH 44126 | 2020-07-30 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1649810821 | John P Meehan | Counselor | 21139 Lorain Rd 12, Fairview, OH 44126 | 2020-01-15 |
| 1356856306 | Cynthia Takaht | Counselor | 20800 Westgate #200, Fairview Park, OH 44126 | 2017-12-12 |
| 1205383759 | Ashraf M.a Abushahin | Student in an Organized Health Care Education/Training Program | 20120 Lorain Raod, Apartment 602, Fairview Park, OH 44126 | 2016-09-01 |
| 1760853311 | Laveena A Meriga | Nurse Practitioner | 21358 Ellen Dr, Fairview Park, OH 44126 | 2015-10-08 |
| 1023425899 | Rafif Mousa | Obstetrics & Gynecology | 21500 Lorain Rd, Fairview Park, OH 44126 | 2014-07-14 |
| 1366878514 | Michael J Rudolph | Counselor | 20800 Westgate Prof Center, Suite 200, Fairview, OH 44126 | 2013-09-19 |
| 1336497924 | Dental 32 LLC | Dentist | 22640 Lorain Road, Fairview Park, OH 44126 | 2012-08-29 |
| 1871755660 | Varun Dixit | General Acute Care Hospital | 20120 Lorain Road, Apt 412, Fairview Park, OH 44126 | 2008-07-02 |
| Find all providers in zip 44126 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356856306 | Cynthia Takaht | Counselor | 20800 Westgate #200, Fairview Park, OH 44126 | 2017-12-12 |
| 1871994608 | Joseph Lawrence Stois Jr. | Counselor | 22403 Sandy Ln, Fairview Park, OH 44126-2559 | 2014-09-11 |
| 1851686893 | Lisa Pepera | Counselor | 21139 Lorain Rd Ste 12, Fairview Park, OH 44126-2149 | 2011-06-17 |
| 1780156315 | Colors Plus Counseling | Counselor | 21139 Lorain Rd Ste 12, Fairview Park, OH 44126-2149 | 2018-12-20 |
| 1841704046 | Cassandra Morton | Counselor | 20800 Westgate Mall Ste 200, Fairview Park, OH 44126-1318 | 2017-11-27 |
| 1255883278 | Judith Meinert | Counselor | 22540 Lorain Rd, Fairview Park, OH 44126-2212 | 2016-10-25 |
| 1427435866 | Lindsey Maurer | Counselor | 22540 Lorain Rd, Fairview Park, OH 44126-2212 | 2015-05-06 |
| 1508243551 | Alia Lawlor | Counselor | 22540 Lorain Rd, Fairview Park, OH 44126-2212 | 2015-04-29 |
| 1548680226 | Chelsea Peticca | Counselor | 20800 Westgate Professional Center, Suite 200, Fairview Park, OH 44126 | 2014-04-22 |
| 1881987378 | David Gillard Bostwick Sr. | Counselor | 20800 Westgate Professional Center, Suite 200, Fairview Park, OH 44126 | 2011-05-17 |
| Find all providers in FAIRVIEW PARK | ||||
| City | FAIRVIEW PARK |
| Zip Code | 44126 |
Please comment or provide details below to improve the information on MR. DAVID BROCKETT.
| 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.