Provider Type Icon

PSYCH SERVICES INC NPI 1144396011


NPI Information

NPI: 1144396011
Provider Name: PSYCH SERVICES INC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 36D2092141

Address:
26777 LORAIN RD
SUITE 716
NORTH OLMSTED, OH
ZIP 44070
Phone: (440) 777-9200
Get Directions

PSYCH SERVICES INC is a clinical psychologist in North Olmsted, OH. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PSYCH SERVICES INC NPI is 1144396011. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26777 LORAIN RD
SUITE 716
NORTH OLMSTED, OH
ZIP 44070-200
Phone: (440) 777-9200
Fax: (440) 777-9288

The provider's authorized official is Nancy J Duff-boehm .
The authorized official title is Clinical Director and has the following contact phone number (440) 777-9200.

The CLIA number assigned to this NPI record is 36D2092141 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 10/22/2014.


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
1103TA0700XPsychologistAdult Development & Aging3637OHIONo
2103TC2200XPsychologistClinical Child & Adolescent3637OHIONo
31041C0700XSocial WorkerClinical17264OHIONo
4103TC0700XPsychologistClinical3637OHIOYes

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
1CP14118MEDICARE PIN
2R88547MEDICARE UPINOHIO
30278684MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.