BRUCE KOTTLER (NPI# 1710101019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710101019 |
| Entity Type | Individual |
| Full Name | BRUCE KOTTLER |
| Credential | PH.D. |
| Practice Address |
3922 Lovers Lane Ravenna OH 44266 |
| Mailing Address |
5982 Rhodes Rd Kent OH 44240-4128 |
| Practice Telephone | 3306731347 |
| Practice Fax Number | 3306783677 |
| Mailing Telephone | 3306731347 |
| Mailing Fax Number | 3306783677 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 4542 | OH | Behavioral Health & Social Service Providers |
| Street Address |
3922 LOVERS LANE |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588167043 | Elayna K Swearingen | Community Health Worker | 3922 Lovers Lane, Sue Hetrick, Ravenna, OH 44266 | 2018-03-12 |
| 1265646442 | Rebecca Dempster | Counselor | 3922 Lovers Lane, Ravenna, OH 44266 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164633426 | Ravenna School District | Psychologist | 3590 State Route 59, Ravenna, OH 44266 | 2007-05-25 |
| 1275748766 | Dixie L. Benshoff | Psychologist | 231 North Chestnut St., Ravenna, OH 44266 | 2007-05-10 |
| 1306936711 | Steven A Stein | Psychologist | 308 Bryn Mawr St, Unit I, Ravenna, OH 44266-7708 | 2006-10-14 |
| 1245267707 | John Edward Alexander | Psychologist | 2633 State Route 59, Suite E, Ravenna, OH 44266-1684 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184244 | Works of Faith Wellness and Consultation, LLC | Psychologist | 867 Mosaic Ct, Columbus, OH 43230-3835 | 2020-11-02 |
| 1740896711 | Shalin Shah | Psychologist | 2312 Ohio Ave Apt 131, Cincinnati, OH 45219-1630 | 2020-09-16 |
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1184241655 | Laura L Moncrief, Psy.d., LLC | Psychologist | 7155 Pearl Rd Ste 102, Middleburg Heights, OH 44130-4945 | 2020-07-01 |
| 1043834971 | Tycie Alcorn | Psychologist | 1415 Oak Hill Ct Apt 50, Toledo, OH 43614-2544 | 2020-06-06 |
| 1912520065 | Tracey King | Psychologist | 726 E Main St Ste F210, Lebanon, OH 45036-1900 | 2020-05-24 |
| 1811517964 | Susan Frances Folger | Psychologist | 5071 Forest Dr Ste B, New Albany, OH 43054-8181 | 2020-04-19 |
| 1740813898 | Carla Luciano Codani Hisatugo | Psychologist | 445 East Dublin Granville Rd., Worthington, OH 43085-3183 | 2020-02-18 |
| 1003456351 | Apex Neuropsychology Center LLC | Psychologist | 819 Southwestern Run #2, Poland, OH 44514 | 2020-01-14 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| Find all providers with the same taxonomy | ||||
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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.