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PREMIER BEHAVIORAL HEALTH SERVICES LLC NPI 1184869786


NPI Information

NPI: 1184869786
Provider Name: PREMIER BEHAVIORAL HEALTH SERVICES, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 36D2074565

Address:
8701 MENTOR AVE
MENTOR, OH
ZIP 44060
Phone: (440) 266-0770
Get Directions

PREMIER BEHAVIORAL HEALTH SERVICES, LLC is a clinical psychologist in Mentor, 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. PREMIER BEHAVIORAL HEALTH SERVICES, LLC NPI is 1184869786. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8701 MENTOR AVE
MENTOR, OH
ZIP 44060-103
Phone: (440) 266-0770
Fax: (440) 266-0257

The provider's authorized official is Roberta Ursetti .
The authorized official title is Director Of Operations and has the following contact phone number (440) 266-0770.

The CLIA number assigned to this NPI record is 36D2074565 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2008 and was last updated on 1/31/2020.


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
1101YM0800XCounselorMental HealthNo
2103G00000XClinical NeuropsychologistNo
3103TC0700XPsychologistClinical6237OHIOYes
42084P0800XPsychiatry & NeurologyPsychiatry35-048125OHIONo
5364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo

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
12923064MEDICAIDOHIO

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: 4/28/2024

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