PSYCHIATRIC AND PSYCHOLOGICAL SERVICE (NPI# 1811944333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811944333 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC AND PSYCHOLOGICAL SERVICE |
| Practice Address |
750 S Abbe Rd Elyria OH 44035-7246 |
| Practice Telephone | 4403235121 |
| Practice Fax Number | 4403235134 |
| Mailing Telephone | 4403235121 |
| Mailing Fax Number | 4403235134 |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2012-02-15 |
| Authorized Official Name | DIANA SANTANTONIO (CO-OWNER) |
| Authorized Official Telephone | 4403235121 |
| Authorized Official Credential | ED.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
07116 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MAGELLAN MIS NUMBER | 701291000 | 01 |
| OH | ANTHEM BLUE CROSS PIN | 000000157251 | 01 |
| OH | KAISER PIN | 104917 | 01 |
| Street Address |
750 S ABBE RD |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-7246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376845024 | Marva A Jones | Counselor | 750 S Abbe Rd, Elyria, OH 44035-7246 | 2010-12-01 |
| 1366743288 | Pamela Parobek Eltrich | Social Worker | 750 S Abbe Rd, Elyria, OH 44035-7246 | 2010-11-09 |
| 1548437031 | Robin Foushee Patterson | Social Worker | 750 S Abbe Rd, Elyria, OH 44035-7246 | 2008-05-13 |
| 1033135199 | David Douglas Zachau | Counselor | 750 S Abbe Rd, Elyria, OH 44035-7246 | 2006-07-14 |
| 1275561763 | Christine Julia Saladin | Counselor | 750 S Abbe Rd, Elyria, OH 44035-7246 | 2006-06-30 |
| 1194761064 | Diana Susan Santantonio | Psychologist | 750 S Abbe Rd, Elyria, OH 44035-7246 | 2006-06-21 |
| 1528002367 | Renee T Golowenski | Counselor | 750 S Abbe Rd, Elyria, OH 44035-7246 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598283830 | Mary Frances Rose | Counselor | 41641 N Ridge Rd Ste B, Elyria, OH 44035-1264 | 2017-09-07 |
| 1033637491 | Erica Lynn George | Counselor | 1131 E Broad St, Elyria, OH 44035-6305 | 2017-09-06 |
| 1588011670 | Linda Heim | Counselor | 102 Kelly Ct, Elyria, OH 44035-8399 | 2016-05-18 |
| 1538396775 | Kara Michele Poth | Counselor | 347 Midway Blvd Ste 200, Elyria, OH 44035-2496 | 2009-06-15 |
| 1427088145 | Mary Margaret Migra | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2006-07-05 |
| 1417594839 | Heather Barlow | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2019-12-04 |
| 1558903310 | John Northcott | Counselor | 457 Griswold Rd, Elyria, OH 44035-2304 | 2019-10-14 |
| 1174176358 | Brendon Mclellan | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2019-07-17 |
| 1356905160 | Rachel Elizabeth Cwalina | Counselor | 174 Midway Blvd, Elyria, OH 44035-2786 | 2019-04-26 |
| 1629573001 | Leslie Elizabeth Shephard | Counselor | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2018-03-27 |
| Find all providers in ELYRIA | ||||
Please comment or provide details below to improve the information on PSYCHIATRIC AND PSYCHOLOGICAL SERVICE.
| 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.