| Faust Psychological Services, Inc. | |
|
1730 West 25th St. Cleveland OH 44113 | |
| (216) 363-2363 | |
| (216) 696-7488 |
| Full Name | Faust Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1730 West 25th St., Cleveland, Ohio |
| Authorized Official Name and Position | Michael William Faust (PSYCHOLOGIST) |
| Authorized Official Contact | 2163632363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faust Psychological Services, Inc. 1730 West 25th St. Cleveland OH 44113 Ph: (216) 363-2363 | Faust Psychological Services, Inc. 1730 West 25th St. Cleveland OH 44113 Ph: (216) 363-2363 |
| NPI Number | 1487842340 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 05/04/2012 |
| Medicare PECOS PAC ID | 0143481770 |
|---|---|
| Medicare Enrollment ID | O20120409000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487842340 | NPI | - | NPPES |
| 0967584 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4749 (Ohio) | Primary |
| Provider Name | Michael W Faust |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356387468 PECOS PAC ID: 1850553967 Enrollment ID: I20120508000247 |
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