CORNERSTONE PSYCHOLOGICAL SERVICSE NPI 1851504971

NPI Information

NPI: 1851504971
Provider Name: CORNERSTONE PSYCHOLOGICAL SERVICSE
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
221 W LIBERTY ST
MEDINA, OH
ZIP 44256
Phone: (330) 722-4166
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CORNERSTONE PSYCHOLOGICAL SERVICSE is a mental health (including community mental health center) clinic center in Medina, OH. CORNERSTONE PSYCHOLOGICAL SERVICSE NPI is 1851504971. The provider is registered as an organization entity type.

The provider's business location address is:

221 W LIBERTY ST
MEDINA, OH
ZIP 44256-217
Phone: (330) 722-4166
Fax: (330) 725-5792

The provider's authorized official is Velma Rothel .
The authorized official title is Office Manager and has the following contact phone number (330) 722-4166.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	0787420	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: 4/28/2024

NPI Synchronization or Removal

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