TIMOTHY A BERLIN PCC SUPERVISOR NPI 1689981607

NPI Information

NPI: 1689981607
Provider Name: TIMOTHY A BERLIN, PCC, SUPERVISOR
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3737 LANDER RD
PEPPER PIKE, OH
ZIP 44124
Phone: (216) 831-2255
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Timothy A Berlin, PCC, SUPERVISOR is a professional counselor in Pepper Pike, OH. Timothy A Berlin, PCC, SUPERVISOR NPI is 1689981607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3737 LANDER RD
PEPPER PIKE, OH
ZIP 44124-712
Phone: (216) 831-2255
Fax: (216) 378-3906

The enumeration date for this NPI number is 9/13/2010 and was last updated on 9/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	E,0007988-SUPV	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0268768	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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