| Chagrin Valley Psychiatric Associates Inc | |
|
7500 Thatchum Ln Mentor OH 44060-6814 | |
| (440) 227-3691 | |
| (863) 438-6126 |
| Full Name | Chagrin Valley Psychiatric Associates Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7500 Thatchum Ln, Mentor, Ohio |
| Authorized Official Name and Position | Todd Jacob Gates (PRESIDENT) |
| Authorized Official Contact | 4402273691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chagrin Valley Psychiatric Associates Inc 7500 Thatchum Ln Mentor OH 44060-6814 Ph: (440) 227-3691 | Chagrin Valley Psychiatric Associates Inc 7500 Thatchum Ln Mentor OH 44060-6814 Ph: (440) 227-3691 |
| NPI Number | 1114197340 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 02/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114197340 | NPI | - | NPPES |
| CH92497315 | Other | OH | MEDICARE GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 34004091 (Ohio) | Primary |
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