| Center For Effective Living | |
|
20800 Westgate Mall Ste 200 Fairview Park OH 44126-1323 | |
| (440) 333-4949 | |
| (440) 333-5044 |
| Full Name | Center For Effective Living |
|---|---|
| Speciality | Psychologist |
| Location | 20800 Westgate Mall, Fairview Park, Ohio |
| Authorized Official Name and Position | Kathleen A Mcintyre (OFFICE MANAGER) |
| Authorized Official Contact | 4403334949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Effective Living 20800 Westgate Mall Ste 200 Fairview Park OH 44126-1323 Ph: (440) 333-4949 | Center For Effective Living 20800 Westgate Mall Ste 200 Fairview Park OH 44126-1323 Ph: (440) 333-4949 |
| NPI Number | 1790781102 |
|---|---|
| Provider Enumeration Date | 06/22/2005 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Medicare PECOS PAC ID | 9638203318 |
|---|---|
| Medicare Enrollment ID | O20110603000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790781102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Provider Name | Roseline Okon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801998547 PECOS PAC ID: 4082613021 Enrollment ID: I20061220000316 |
| Provider Name | Lorann Bridget Murphy |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669596870 PECOS PAC ID: 4688778939 Enrollment ID: I20070327000416 |
| Provider Name | Melissa A Mellinger |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508034893 PECOS PAC ID: 7517044399 Enrollment ID: I20080403000070 |
| Provider Name | Michael B Leach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568546422 PECOS PAC ID: 6002980018 Enrollment ID: I20080808000135 |
| Provider Name | Deborah A Koricke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598779092 PECOS PAC ID: 2961557095 Enrollment ID: I20090826000100 |
| Provider Name | Deanna L Horrigan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1568544377 PECOS PAC ID: 5890954804 Enrollment ID: I20120312000389 |
| Provider Name | Marilena Achim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710128145 PECOS PAC ID: 3870740558 Enrollment ID: I20120831000390 |
| Provider Name | Siddharth S Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386910172 PECOS PAC ID: 0547487324 Enrollment ID: I20140819001841 |
| Provider Name | Stephanie Martin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427225093 PECOS PAC ID: 7618005232 Enrollment ID: I20151022001692 |
| Provider Name | Jennifer Spies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932545498 PECOS PAC ID: 4082914510 Enrollment ID: I20151204001294 |
| Provider Name | Steven A Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275630642 PECOS PAC ID: 6204818511 Enrollment ID: I20160209001879 |
| Provider Name | Vishin Joe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083015564 PECOS PAC ID: 4587886734 Enrollment ID: I20171019001318 |
| Provider Name | Joseph Fernando Keppler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932627825 PECOS PAC ID: 0648546531 Enrollment ID: I20171020000223 |
| Provider Name | Traci Renzulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649678343 PECOS PAC ID: 4587984851 Enrollment ID: I20180216002059 |
| Provider Name | Lauren B Kusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902226152 PECOS PAC ID: 0244652899 Enrollment ID: I20200626002392 |
| Provider Name | Kuwanna Deaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427419845 PECOS PAC ID: 9830526193 Enrollment ID: I20201029001918 |
| Provider Name | David G Bostwick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881987378 PECOS PAC ID: 4284011891 Enrollment ID: I20220520001817 |
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