| Cornerstone Psychological & Counseling Services Of Northeast Ohio | |
|
4018 Medina Rd Ste D Medina OH 44256-9675 | |
| (330) 722-4166 | |
| (330) 336-5325 |
| Full Name | Cornerstone Psychological & Counseling Services Of Northeast Ohio |
|---|---|
| Speciality | Clinic/Center |
| Location | 4018 Medina Rd Ste D, Medina, Ohio |
| Authorized Official Name and Position | Ken Filbert (OWNER) |
| Authorized Official Contact | 3303362800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Psychological & Counseling Services Of Northeast Ohio 195 Wadsworth Rd Ste 201a Wadsworth OH 44281-9504 Ph: (330) 336-2800 | Cornerstone Psychological & Counseling Services Of Northeast Ohio 4018 Medina Rd Ste D Medina OH 44256-9675 Ph: (330) 722-4166 |
| NPI Number | 1144612300 |
|---|---|
| Provider Enumeration Date | 02/25/2015 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Medicare PECOS PAC ID | 1052631868 |
|---|---|
| Medicare Enrollment ID | O20150519001575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144612300 | NPI | - | NPPES |
| 0126029 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mary Ann Pap Barbera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982692463 PECOS PAC ID: 7315988474 Enrollment ID: I20050518001148 |
| Provider Name | Kathleen Diane Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720046691 PECOS PAC ID: 3971549874 Enrollment ID: I20050630000689 |
| Provider Name | Susan Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235348137 PECOS PAC ID: 3072603273 Enrollment ID: I20071211000824 |
| Provider Name | Sharon Yarnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942267786 PECOS PAC ID: 2365603008 Enrollment ID: I20120405000488 |
| Provider Name | Marianne G Bowden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104814649 PECOS PAC ID: 0446229603 Enrollment ID: I20120507000709 |
| Provider Name | Rosemary Mcdonagh |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790944908 PECOS PAC ID: 9931357449 Enrollment ID: I20120906000916 |
| Provider Name | Margaret Wilkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922366731 PECOS PAC ID: 2961722780 Enrollment ID: I20150519001908 |
| Provider Name | Alicia Wilkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407814239 PECOS PAC ID: 4486974227 Enrollment ID: I20150519002380 |
| Provider Name | Amy Thatcher-benza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215989033 PECOS PAC ID: 8527388214 Enrollment ID: I20150520001736 |
| Provider Name | Suzanne Lesure |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689631277 PECOS PAC ID: 1254351026 Enrollment ID: I20150603002695 |
| Provider Name | Debora Esty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730323684 PECOS PAC ID: 5597078907 Enrollment ID: I20150714002142 |
| Provider Name | Barbara Michelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346207263 PECOS PAC ID: 9830403120 Enrollment ID: I20150730012291 |
| Provider Name | Kimberly M Oney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740449321 PECOS PAC ID: 9335453422 Enrollment ID: I20150803002244 |
| Provider Name | Elizabeth R Yutzy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255491205 PECOS PAC ID: 2769792423 Enrollment ID: I20151109001262 |
| Provider Name | Jamie Reed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588997811 PECOS PAC ID: 8325348303 Enrollment ID: I20151123002400 |
| Provider Name | Charles Waehler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861458879 PECOS PAC ID: 8729366331 Enrollment ID: I20161102002558 |
| Provider Name | Laurie Spenik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922450808 PECOS PAC ID: 7113253410 Enrollment ID: I20190724002326 |
| Provider Name | Amy Petrill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407304470 PECOS PAC ID: 5698105096 Enrollment ID: I20200427002208 |
| Provider Name | Carol Keeler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538125547 PECOS PAC ID: 2062855836 Enrollment ID: I20240208002012 |
| Provider Name | Lindsey Fusillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356712897 PECOS PAC ID: 3779926134 Enrollment ID: I20240213002171 |
| Provider Name | Jennifer Skruck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205024957 PECOS PAC ID: 6800230020 Enrollment ID: I20240215002965 |
| Provider Name | Kristen Mccort |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629073796 PECOS PAC ID: 1153765375 Enrollment ID: I20240215003028 |
| Provider Name | Jennifer Cuffaro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811358518 PECOS PAC ID: 1355785007 Enrollment ID: I20240221001311 |
| Provider Name | Cynthia Mcquown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336106178 PECOS PAC ID: 8820439995 Enrollment ID: I20240508000180 |
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