Thomas Hustak (NPI# 1598786584, PAC ID# 0648355305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1598786584 |
| PAC ID by PECOS | 0648355305 |
| Professional Enrollment ID | I20080306000049 |
| Full Name | Thomas Hustak |
| Organization Legal Name | PRACTICE OF CLINICAL PSYCHOLOGY INC |
| Address |
1000 W Market St Lima OH 45805-2730 |
| Phone Number | 4192275515 |
| Gender | M |
| Graduation Year | 1975 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 6800082793 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1000 W Market St, Lima, OH 45805-2730 | 4192275515 | PRACTICE OF CLINICAL PSYCHOLOGY INC |
| Organization Legal Name | PRACTICE OF CLINICAL PSYCHOLOGY INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry L Zimmerman | Clinical Psychologist | Practice of Clinical Psychology Inc | 1000 W Market St, Lima, OH 45805-2730 |
| Fredrick P Ferri | Clinical Psychologist | Practice of Clinical Psychology Inc | 1000 W Market St, Lima, OH 45805-2730 |
| Street Address |
1000 W MARKET ST |
| City | LIMA |
| State | OH |
| Zip | 45805-2730 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glen F Strobel | Psychologist, Clinical | 1000 W Market St, Lima, OH 45805-2730 | |
| Jerry L Zimmerman | Clinical Psychologist | Practice of Clinical Psychology Inc | 1000 W Market St, Lima, OH 45805-2730 |
| Fredrick P Ferri | Clinical Psychologist | Practice of Clinical Psychology Inc | 1000 W Market St, Lima, OH 45805-2730 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darryl M Haycock | Podiatry | 2311 Baton Rouge, Lima, OH 45805-1129 | |
| Mary Shenouda | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
| Michael T Craig | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
| Michael Griffith | Psychologist, Clinical | 3000 Elida Rd, Suite 2, Lima, OH 45805-1232 | |
| Michael Fishbaugh Jr. | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| Amy L Bankey | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| Ashley Nicole Schoenherr | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| John Gillis | Chiropractic | 1905 Latham Ave, Lima, OH 45805-1637 | |
| Matthew P Ziccardi | Clinical Psychologist | 1045 Mackenzie Dr, Lima, OH 45805-1660 | |
| Omar A Sweidan | Optometry | 2155 Allentown Rd, Lima, OH 45805-1705 | |
| Find all physicians in zip 45805 | |||
| City | LIMA |
| Zip Code | 45805 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | LIMA + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Thomas Hustak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.