DR. STACEY BREWSTER FOERSTNER (NPI# 1740200245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740200245 |
| Entity Type | Individual |
| Full Name | DR. STACEY BREWSTER FOERSTNER |
| Credential | PH.D. |
| Practice Address |
34950 Chardon Rd Suite #202 Willoughby OH 44094-9162 |
| Mailing Address |
8585 Cardinal Dr Kirtland OH 44094-9747 |
| Practice Telephone | 4405105100 |
| Practice Fax Number | 4405105151 |
| Mailing Telephone | 4402561619 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3859 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0664099 | 05 |
| Street Address |
34950 CHARDON RD SUITE #202 |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-9162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245400332 | Timothy L Gordon Md Orthopedics Pa | Orthopaedic Surgery | 34950 Chardon Rd, Suite 104, Willoughby, OH 44094-9162 | 2008-03-05 |
| 1275743171 | Michael D. Stern D.d.s., Inc. | Clinic/Center | 34950 Chardon Rd, Suite 209, Willoughby, OH 44094-9162 | 2007-05-22 |
| 1316090335 | Monica Coreman | Counselor | 34950 Chardon Rd, Suite 202, Willoughby, OH 44094-9162 | 2007-01-21 |
| 1316099641 | Darrell W Hardin Inc | Durable Medical Equipment & Medical Supplies | 34950 Chardon Rd, Suite 103, Willoughby, OH 44094-9162 | 2007-01-17 |
| 1861569840 | Glenda J. Kupersmith | Social Worker | 34950 Chardon Rd, Ste. 202, Willoughby, OH 44094-9162 | 2006-11-29 |
| 1306817440 | David Borden Feldman | Psychiatry & Neurology | 34950 Chardon Rd, Suite 202, Willoughby, OH 44094-9162 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| 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 |
|---|---|---|---|---|
| 1134220817 | Richard Alan Brunner | Psychologist | 35104 Euclid Av, Suite 203, Willoughby, OH 44904 | 2006-09-26 |
| 1205941648 | Jeffrey L. Chernin | Psychologist | 35104 Euclid Ave., Ste. 110, Willoughby, OH 44094-4519 | 2006-08-19 |
| 1093780389 | Kathy Whan-marko | Psychologist | 3951 Erie St, #208, Willoughby, OH 44094-7784 | 2006-02-21 |
| 1487761953 | Sherry A. Dinner | Psychologist | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2006-08-23 |
| 1679547632 | Lucene Wisniewski | Psychologist | 35900 Euclid Ave, Laurelwood Hospital, Willoughby, OH 44094 | 2006-02-15 |
| 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 | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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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.