DR. JILL HELENE MUSHKAT CONOMY (NPI# 1629152954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629152954 |
Entity Type | Individual |
Full Name | DR. JILL HELENE MUSHKAT CONOMY |
Credential | PH.D. |
Practice Address |
6803 Mayfield Rd. #200 Cchseast Hillcrest Hosp. Pain Center Mayfield Hts. OH 44124 |
Mailing Address |
6803 Mayfield Rd. #200 Ccf Hillcrest Hosp. Pain Center Mayfield Hts. OH 44124 |
Practice Telephone | 2164916314 |
Practice Fax Number | 4403128434 |
Mailing Telephone | 2164916314 |
Mailing Fax Number | 4403128434 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2013-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0100X |
Psychologist Specialization: Health Service |
2945 | OH | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0425123 | 05 |
Street Address |
6803 MAYFIELD RD. #200 CCHSEAST HILLCREST HOSP. PAIN CENTER |
City | MAYFIELD HTS. |
State | OH |
Zip Code | 44124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
Find all providers in zip 44124 |
Taxonomy Code | 103TH0100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health Service |
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891892 | Hunter L Mote | Psychologist | 7174 Hammond Dr, Greenville, OH 45331-2408 | 2020-11-05 |
1831798446 | Jaquitta Denise Wells | Psychologist | 1013 Evangeline Rd Apt 2, Cleveland, OH 44110-3192 | 2020-10-23 |
1760006332 | Tekesha Mckinney | Psychologist | 11464 Ramondi Pl, Cincinnati, OH 45240-2047 | 2020-05-29 |
1528554896 | Shamika Marie White-lovelace | Psychologist | 3886 Brookside Blvd, Cleveland, OH 44111-5105 | 2018-07-10 |
1427549138 | Pallaveebahen H Patel | Psychologist | 9150a N Plaza Dr, Northfield, OH 44067-1348 | 2018-05-29 |
1225554348 | Eric Anthony Gietzen | Psychologist | 93 Rolling Park Dr N, Massillon, OH 44647-5196 | 2017-08-21 |
1881110583 | Armada Hardy | Psychologist | 2203 Peace Ave Nw, Warren, OH 44483-3257 | 2017-08-15 |
1922522192 | Hopebridge, LLC | Psychologist | 1255 Kemper Meadow Dr Ste 900, Cincinnati, OH 45240-1633 | 2017-07-31 |
1174999130 | Angela Burris | Psychologist | 7055 Dutchland Blvd, Liberty Township, OH 45044-9014 | 2015-08-13 |
1023181633 | William Hayes Obrien | Psychologist | Of Psychology, Bowling Green State University, Bowling Green, OH 43403-0001 | 2006-11-15 |
Find all providers with the same taxonomy |
City | MAYFIELD HTS. |
Zip Code | 44124 |
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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.