TRACY M DAWYDUK (NPI# 1790867513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790867513 |
| Entity Type | Individual |
| Full Name | TRACY M DAWYDUK |
| Credential | PSYD |
| Practice Address |
4833 Darrow Rd Ste 101 Stow OH 44224-1411 |
| Practice Telephone | 3306505338 |
| Practice Fax Number | 3303423837 |
| Mailing Telephone | 3306505338 |
| Mailing Fax Number | 3303423837 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 5685 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000316465 | 01 |
| Street Address |
4833 DARROW RD STE 101 |
| City | STOW |
| State | OH |
| Zip Code | 44224-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922065697 | Eve P Whitmore | Psychologist | 4833 Darrow Rd Ste 101, Stow, OH 44224-1411 | 2006-04-27 |
| 1487216776 | Samantha Mary Goodin | Psychologist | 4833 Darrow Rd Ste 101, Stow, OH 44224-1411 | 2019-07-08 |
| 1871971309 | Nathan Lamkin | Psychologist | 4833 Darrow Rd Ste 101, Stow, OH 44224-1411 | 2015-05-17 |
| 1992757769 | Gerald J Strauss | Psychologist | 4833 Darrow Rd Ste 101, Stow, OH 44224-1411 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083119 | Karlie Wardlaw | Case Manager/Care Coordinator | 4161 Brudgewater Pkwy, Stow, OH 44224 | 2020-08-10 |
| 1730733270 | Ron Rahe | Pharmacist | 1961 Marhofer Ave, Stow, OH 44224 | 2019-08-01 |
| 1306400395 | Northern Summit Counseling, LLC | Community/Behavioral Health | 4526 Stow Rd, Suite A, Stow, OH 44224 | 2019-04-25 |
| 1063930626 | Stow Recovery Specialists, LLC | Clinic/Center | 4502 Darrow Rd, Stow, OH 44224 | 2017-09-05 |
| 1396124525 | Aaron Lindstrom | Dentist | 3515 Hudson Drive Suite 100, Stow, OH 44224 | 2015-05-20 |
| 1093116519 | Progressive Hospice, LLC | Hospice Care, Community Based | 4466 Darrow Rd. Ste. 9, Stow, OH 44224 | 2014-09-16 |
| 1326368457 | Person Centered Therapies, Inc. | Speech-Language Pathologist | 3653 Darrow Rd., Suite 3, Stow, OH 44224 | 2010-06-11 |
| 1306176847 | Latoya Searight | Occupational Therapist | 2970 L'ermitage Place, Stow, OH 44224 | 2010-01-06 |
| 1144471798 | Douglas R Kast | Internal Medicine | 4465 Darrow Rd., Stow, OH 44224 | 2008-10-01 |
| 1700044526 | Edward C Maher Jr. | Dentist | 3500 Hudson Dr #3, Stow, OH 44224 | 2008-05-29 |
| Find all providers in zip 44224 | ||||
| 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 |
|---|---|---|---|---|
| 1760519136 | Joel Howard Kupfersmid | Psychologist | 1186 Temple Trl, Stow, OH 44224-2239 | 2007-02-27 |
| 1700996428 | Beverly Sue Donovan | Psychologist | 1017 Tall Grass Cir Apt 102, Stow, OH 44224-6905 | 2006-08-30 |
| 1063479590 | Western Reserve Psychological Assoc Inc | Psychologist | 4833 Darrow Road, Suite 101, Stow, OH 44224-1411 | 2006-04-27 |
| 1518927748 | John S Schell | Psychologist | 4833 Darrow Road Suite 101, Stow, OH 44224-1411 | 2006-03-23 |
| 1487216776 | Samantha Mary Goodin | Psychologist | 4833 Darrow Rd Ste 101, Stow, OH 44224-1411 | 2019-07-08 |
| 1871971309 | Nathan Lamkin | Psychologist | 4833 Darrow Rd Ste 101, Stow, OH 44224-1411 | 2015-05-17 |
| 1558768366 | Angela N R Miller | Psychologist | 4833 Darrow Rd, Suite 101, Stow, OH 44224-1411 | 2014-11-21 |
| 1043621386 | Mary E. Hickcox | Psychologist | 4833 Darrow Rd, Suite 101, Stow, OH 44224-1411 | 2014-05-08 |
| 1225265838 | Jay Levine | Psychologist | 4833 Darrow Rd, Suite 101, Stow, OH 44224-1411 | 2009-06-22 |
| 1750548053 | Alfred E. Grzegorek, Ph D, Inc. | Psychologist | 4466 Darrow Rd, Suite 4b, Stow, OH 44224-1866 | 2008-05-22 |
| Find all providers in STOW | ||||
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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.