| Allied Behavioral Health Services, Incorporated | |
|
22540 Lorain Rd Fairview Park OH 44126-2212 | |
| (440) 734-4037 | |
| (440) 734-4710 |
| Full Name | Allied Behavioral Health Services, Incorporated |
|---|---|
| Speciality | Psychologist |
| Location | 22540 Lorain Rd, Fairview Park, Ohio |
| Authorized Official Name and Position | Matthew Anthony Capezzuto (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4407344037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Behavioral Health Services, Incorporated 22540 Lorain Rd Fairview Park OH 44126-2212 Ph: (440) 734-4037 | Allied Behavioral Health Services, Incorporated 22540 Lorain Rd Fairview Park OH 44126-2212 Ph: (440) 734-4037 |
| NPI Number | 1902984248 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 5092713529 |
|---|---|
| Medicare Enrollment ID | O20061117000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902984248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Myra C Kawaguchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285647834 PECOS PAC ID: 9133125842 Enrollment ID: I20061019000350 |
| Provider Name | Deborah S Rosch Eifert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033314562 PECOS PAC ID: 2961586938 Enrollment ID: I20080229000007 |
| Provider Name | Matthew A Capezzuto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609972017 PECOS PAC ID: 3173521606 Enrollment ID: I20100324000813 |
| Provider Name | Alan N Shubert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518046911 PECOS PAC ID: 6901933449 Enrollment ID: I20100415000027 |
| Provider Name | Hilary J Hassinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275567331 PECOS PAC ID: 8325177801 Enrollment ID: I20100520000897 |
| Provider Name | Laura B Mccrea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962597138 PECOS PAC ID: 5991020752 Enrollment ID: I20150219000934 |
| Provider Name | Lisa Basilli |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710265871 PECOS PAC ID: 6305158254 Enrollment ID: I20150706002691 |
| Provider Name | Michael J Nassif |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811308067 PECOS PAC ID: 4789994476 Enrollment ID: I20151109002391 |
| Provider Name | Stephen R Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730148818 PECOS PAC ID: 3870894355 Enrollment ID: I20151229001744 |
| Provider Name | Kenna Mycek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285904748 PECOS PAC ID: 6002112414 Enrollment ID: I20160311000054 |
| Provider Name | Anne Parris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114356193 PECOS PAC ID: 5991087389 Enrollment ID: I20170119001425 |
| Provider Name | Martina Axelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366979726 PECOS PAC ID: 7719256726 Enrollment ID: I20170707000732 |
| Provider Name | Emily L Lockhart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467924282 PECOS PAC ID: 1850767138 Enrollment ID: I20221012002247 |
| Provider Name | Edward Magiste |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982179149 PECOS PAC ID: 7012367683 Enrollment ID: I20231221003413 |
| Provider Name | Jeffrey Bowersox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942895487 PECOS PAC ID: 1355789678 Enrollment ID: I20240405001869 |
| Provider Name | Mark Pemberton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396103057 PECOS PAC ID: 8123467552 Enrollment ID: I20240418002294 |
| Provider Name | Anita C Jensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225584592 PECOS PAC ID: 8729429626 Enrollment ID: I20240509001351 |
| Provider Name | Thomas Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942318027 PECOS PAC ID: 9234570060 Enrollment ID: I20240510002579 |
| Provider Name | Ricki Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003965617 PECOS PAC ID: 5294176954 Enrollment ID: I20240513000497 |
| Provider Name | Mackenzie Martin Gatchel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265994123 PECOS PAC ID: 5092257121 Enrollment ID: I20240605000215 |
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