| Frazier Behavioral Health Llc | |
|
5885 Landerbrook Dr Ste 310 Mayfield Heights OH 44124-4031 | |
| (216) 446-2944 | |
| Not Available |
| Full Name | Frazier Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5885 Landerbrook Dr Ste 310, Mayfield Heights, Ohio |
| Authorized Official Name and Position | Allison Wright-frazier (CEO) |
| Authorized Official Contact | 2164462944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frazier Behavioral Health Llc 841 E Fayette St Syracuse NY 13210-1521 Ph: (216) 446-2944 | Frazier Behavioral Health Llc 5885 Landerbrook Dr Ste 310 Mayfield Heights OH 44124-4031 Ph: (216) 446-2944 |
| NPI Number | 1669015335 |
|---|---|
| Provider Enumeration Date | 10/24/2019 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Medicare PECOS PAC ID | 5193185429 |
|---|---|
| Medicare Enrollment ID | O20230719000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669015335 | NPI | - | NPPES |
| 1003238874 | Medicaid | OH | |
| 1467464313 | Medicaid | OH |
| Provider Name | Lauren Ashley Jeunnette |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427769355 PECOS PAC ID: 7012370380 Enrollment ID: I20230905000914 |
| Provider Name | Thomas William Frazier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467464313 PECOS PAC ID: 0547265928 Enrollment ID: I20230905002579 |
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