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8445 Munson Rd Mentor OH 44060-2410 | |
| (440) 255-1700 | |
| (440) 205-2417 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 8445 Munson Rd, Mentor, Ohio |
| Authorized Official Name and Position | Alice Iden (COO) |
| Authorized Official Contact | 4402551700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8445 Munson Rd Mentor OH 44060-2410 Ph: (440) 255-1700 | 8445 Munson Rd Mentor OH 44060-2410 Ph: (440) 255-1700 |
| NPI Number | 1356303911 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Medicare PECOS PAC ID | 9638440241 |
|---|---|
| Medicare Enrollment ID | O20170731003569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356303911 | NPI | - | NPPES |
| 2069738 | Medicaid | OH | |
| 0001318 | Other | OH | MACSIS UNIQUE PROVIDER ID |
| 2864093 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lyle J Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134270465 PECOS PAC ID: 8224012448 Enrollment ID: I20040615001761 |
| Provider Name | Dorit A Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841351335 PECOS PAC ID: 0840270294 Enrollment ID: I20040724000452 |
| Provider Name | Kelly Stevenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346427374 PECOS PAC ID: 8224190111 Enrollment ID: I20081231000429 |
| Provider Name | Kimberly A Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760762405 PECOS PAC ID: 0143440479 Enrollment ID: I20141008000829 |
| Provider Name | Ebony Elam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568582724 PECOS PAC ID: 9335423474 Enrollment ID: I20170308002681 |
| Provider Name | Richard A. Schenkelberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356645717 PECOS PAC ID: 1951527951 Enrollment ID: I20180731003327 |
| Provider Name | Jamie Dials |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528571528 PECOS PAC ID: 1254677248 Enrollment ID: I20190111002251 |
| Provider Name | Samantha M Imfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982084083 PECOS PAC ID: 2860704285 Enrollment ID: I20200608002341 |
| Provider Name | Danielle Lanning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770097545 PECOS PAC ID: 2163835455 Enrollment ID: I20210105002458 |
| Provider Name | Samantha Kissig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558710087 PECOS PAC ID: 9739593633 Enrollment ID: I20210204003003 |
| Provider Name | Graesyn Layne Schwind Engler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962010256 PECOS PAC ID: 2163894593 Enrollment ID: I20230214000434 |
| Provider Name | Erica Patfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932553070 PECOS PAC ID: 6204127061 Enrollment ID: I20230724001737 |
| Provider Name | Jessica Ann Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871011098 PECOS PAC ID: 3476917733 Enrollment ID: I20230919004072 |
| Provider Name | Brandy Danielle Kushan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235444597 PECOS PAC ID: 4284085275 Enrollment ID: I20240103003542 |
| Provider Name | Jaime Bishop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023178050 PECOS PAC ID: 0547611477 Enrollment ID: I20240104003744 |
| Provider Name | Lauren Grey Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992998058 PECOS PAC ID: 1153772942 Enrollment ID: I20240105001372 |
| Provider Name | Susan E. Hoicowitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710252523 PECOS PAC ID: 5092166785 Enrollment ID: I20240106000734 |
| Provider Name | Rebecca L Doman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598068447 PECOS PAC ID: 8325499858 Enrollment ID: I20240109004658 |
| Provider Name | Claudia Patricia Cano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417348863 PECOS PAC ID: 6406209626 Enrollment ID: I20240124001910 |
| Provider Name | Nanci Pane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306041405 PECOS PAC ID: 3971956103 Enrollment ID: I20240124002231 |
| Provider Name | Lauren Hartmeyer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063919066 PECOS PAC ID: 5991148041 Enrollment ID: I20240206003325 |
| Provider Name | Reilly Barrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134718612 PECOS PAC ID: 7214375195 Enrollment ID: I20240411000588 |
| Provider Name | Sarah L Huntington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104312768 PECOS PAC ID: 5597106559 Enrollment ID: I20240508003766 |
| Provider Name | Ashley Marie El-khoury |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558675256 PECOS PAC ID: 9032652243 Enrollment ID: I20240617001326 |
| Provider Name | Zachary Zippert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518546175 PECOS PAC ID: 5092258079 Enrollment ID: I20240618003766 |
| Provider Name | Arriana Christina Yezzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790322337 PECOS PAC ID: 9739627431 Enrollment ID: I20240813001633 |
| Provider Name | Alexandra Sahlani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689406407 PECOS PAC ID: 1850826835 Enrollment ID: I20241127002681 |
| Provider Name | Suzanne L. Boehringer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497127773 PECOS PAC ID: 6002341914 Enrollment ID: I20241130000105 |
| Provider Name | Rylie Mcpartland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033941984 PECOS PAC ID: 7517492432 Enrollment ID: I20241130000351 |
Progressive Attunement Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6595 Ivana Ct, Mentor, OH 44060 Phone: 216-224-9686 | |
Ohio Geriatric Psychological Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6817 Kirkwood Dr, Mentor, OH 44060 Phone: 440-209-0561 | |
Access Psycho-social Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7784 Reynolds Place, Suite 213, Mentor, OH 44060 Phone: 440-954-4975 Fax: 216-731-4993 | |
Glovan Pollak And Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8224 Mentor Ave Ste 208, Mentor, OH 44060 Phone: 440-392-2222 Fax: 440-565-2349 | |
Crossroads Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8445 Munson Rd, Mentor, OH 44060 Phone: 440-255-1700 | |
Chagrin Valley Psychiatric Associates Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 Thatchum Ln, Mentor, OH 44060 Phone: 440-227-3691 Fax: 863-438-6126 | |