DR. DEBORAH A KORICKE (NPI# 1598779092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598779092 |
Entity Type | Individual |
Full Name | DR. DEBORAH A KORICKE |
Credential | PH.D. |
Practice Address |
20800 Westgate Professional Center Suite 200 Fairview Park OH 44126 |
Practice Telephone | 4403334949 |
Practice Fax Number | 4403335044 |
Mailing Telephone | 4403334949 |
Mailing Fax Number | 4403335044 |
Enumeration Date | 2006-07-28 |
Last Update Date | 2011-01-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
3304 | OH | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0704250 | 05 |
Street Address |
20800 WESTGATE PROFESSIONAL CENTER SUITE 200 |
City | FAIRVIEW PARK |
State | OH |
Zip Code | 44126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609381912 | Douglas Boose | Counselor | 20800 Westgate Professional Center, Suite 200, Fairview Park, OH 44126 | 2017-12-08 |
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 |
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 | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609972017 | Matthew Anthony Capezzuto | Psychologist | 22540 Lorain Rd, Fairview Park, OH 44126-2212 | 2006-09-15 |
1598382723 | Ocd & Anxiety Center of Cleveland LLC | Psychologist | 19220 Lorain Rd Ste 203, Fairview Park, OH 44126-1976 | 2020-07-04 |
1770906968 | Danelle Hupp | Psychologist | 20800 Westgate Mall, Suite 200, Fairview Park, OH 44126-1323 | 2014-01-24 |
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 | FAIRVIEW PARK |
Zip Code | 44126 |
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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.