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KSK HEALTH SERVICES LLC NPI 1033409222


NPI Information

NPI: 1033409222
Provider Name: KSK HEALTH SERVICES LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
6929 W 130TH ST
SUITE 503
PARMA HEIGHTS, OH
ZIP 44130
Phone: (440) 481-3055
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KSK HEALTH SERVICES LLC is a psychiatry psychiatry neurology in Parma Heights, OH. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. KSK HEALTH SERVICES LLC NPI is 1033409222. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6929 W 130TH ST
SUITE 503
PARMA HEIGHTS, OH
ZIP 44130-895
Phone: (440) 481-3055
Fax: (440) 481-3222

The provider's authorized official is Stephanie L Kidd .
The authorized official title is Manager/ceo and has the following contact phone number (440) 481-3055.

The enumeration date for this NPI number is 4/9/2011 and was last updated on 12/12/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry35099315OHIONo
2101YP2500XCounselorProfessionalE0004052OHIONo
3101YP2500XCounselorProfessionalE0900389OHIONo
42084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry35060650OHIONo
5101YP2500XCounselorProfessionalE0007819OHIONo
61041C0700XSocial WorkerClinicalI0007634OHIONo
7103TC0700XPsychologistClinical6890OHIONo
82084P0800XPsychiatry & NeurologyPsychiatry35060650OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1587502OTHEROHIOPROVIDER VO ID#
212634224OTHEROHIOPROVIDER CAQH #
3H063430MEDICARE PINOHIO
411744590OTHEROHIOPROVIDER CAQH #
50084596MEDICAIDOHIO
62908413OTHEROHIOPROVIDER UHC/UBH ID#
712638930OTHEROHIOPROVIDER CAQH #
83349058OTHEROHIOUHC/UBH PROVIDER ID
90051324MEDICAIDOHIO
10H100523MEDICARE PINOHIO
11687211OTHEROHIOVO MILITARY ONE GROUP PROVIDER ID#
122967384MEDICAIDOHIO
1311753827OTHEROHIOPROVIDER CAQH #
14H398410MEDICARE PINOHIO
15687211OTHEROHIOVO GROUP PROVIDER ID#
16393335OTHEROHIOPROVIDER MHN (HEALTHNET) ID#

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

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