MARC FREDERICKSON (NPI# 1699134551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699134551 |
| Entity Type | Individual |
| Full Name | MARC FREDERICKSON |
| Practice Address |
2500 W Pleasant Valley Rd Parma OH 44134-6521 |
| Mailing Address |
3683 Edgebrooke Dr Apt 104 Brunswick OH 44212-6303 |
| Practice Telephone | 4408438512 |
| Mailing Telephone | 9209151388 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
OH3197407 | OH | Behavioral Health & Social Service Providers |
| Street Address |
2500 W PLEASANT VALLEY RD |
| City | PARMA |
| State | OH |
| Zip Code | 44134-6521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376963405 | Kimberly Dirocco | Registered Nurse | 2500 W Pleasant Valley Rd, Parma, OH 44134-6521 | 2014-04-16 |
| 1073127007 | Callie Scott | Psychologist | 2500 W Pleasant Valley Rd, Parma, OH 44134-6599 | 2020-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083061709 | Gary A. Long | Occupational Therapy Assistant | 3920 Hilltop Drive, Parma, OH 44134 | 2016-05-23 |
| 1932556057 | Roman Povroznik | Social Worker | 4414 Forest Hills Blvd, Parma, OH 44134 | 2016-05-18 |
| 1316321441 | Frank Townsley Jr. | Counselor | 6735 State Rd Cottage 16, Parma, OH 44134 | 2015-07-18 |
| 1083019624 | Camille Grant | Licensed Practical Nurse | 5556 Broaview Rd. Apt3123, Parma, OH 44134 | 2014-10-24 |
| 1952721201 | Vernard Jones Sr. | Nurse's Aide | 2419 Stanfield Dr., Parma, OH 44134 | 2014-04-24 |
| 1255772463 | Deborah Halina Palmentera | Day Training/Habilitation Specialist | 1911 Grantwood Drive, Parma, OH 44134 | 2013-07-16 |
| 1962710582 | Abdallah Ali | Family Medicine | 1400 W Pleasant Valley Road, Parma, OH 44134 | 2010-09-16 |
| 1285947044 | Gwendolyn M Klamut | Speech-Language Pathologist | 5525 Broadview Road, Parma, OH 44134 | 2010-07-22 |
| 1992943435 | Gina Friszman | Speech-Language Pathologist | 5273 Broadview Rd., The Therapy Link, Parma, OH 44134 | 2009-01-21 |
| 1285823252 | Teresa Ellen Blevins | Occupational Therapy Assistant | 1440 Snow Road, Parma, OH 44134 | 2007-10-16 |
| Find all providers in zip 44134 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532090 | Elizabeth Ann Chech | Psychologist | 7915 Manhattan Ave, Parma, OH 44129-1840 | 2020-09-09 |
| 1124545082 | Catherine Elizabeth Windbigler X | Psychologist | 10751 Schwab Dr, Parma, OH 44130-5944 | 2017-08-23 |
| 1154747244 | Adria Fisher | Psychologist | 6285 W 54th St, Parma, OH 44129-5259 | 2014-03-13 |
| 1902221922 | Stefania Bafaro-cika | Psychologist | 2303 Grantwood Dr, Parma, OH 44134-4075 | 2014-02-27 |
| 1073127007 | Callie Scott | Psychologist | 2500 W Pleasant Valley Rd, Parma, OH 44134-6599 | 2020-09-08 |
| 1932568904 | Carrie Martin | Psychologist | 5311 Longwood Ave, Parma, OH 44134-3800 | 2016-02-18 |
| 1093117954 | Caitlin Sabo | Psychologist | 9906 W Pleasant Valley Rd, Parma, OH 44130-6009 | 2014-09-23 |
| 1780098863 | Cara Gaffney | Psychologist | 7700 Malibu Dr, Parma, OH 44130-7203 | 2014-06-17 |
| 1013328723 | Robyn M. Finkenthal | Psychologist | 5311 Longwood Ave, Parma, OH 44134-3800 | 2014-05-15 |
| 1861802936 | John Clute | Psychologist | 5311 Longwood Ave, Parma, OH 44134-3800 | 2014-04-29 |
| Find all providers in PARMA | ||||
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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.