| Hygge Psychiatry Llc | |
|
11801 Clifton Blvd Lakewood OH 44107-2058 | |
| (216) 504-5112 | |
| Not Available |
| Full Name | Hygge Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11801 Clifton Blvd, Lakewood, Ohio |
| Authorized Official Name and Position | Lisa Sullivan (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4404530754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hygge Psychiatry Llc 11801 Clifton Blvd Lakewood OH 44107-2058 Ph: (216) 363-2570 | Hygge Psychiatry Llc 11801 Clifton Blvd Lakewood OH 44107-2058 Ph: (216) 504-5112 |
| NPI Number | 1518643550 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 2365897246 |
|---|---|
| Medicare Enrollment ID | O20231012001767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518643550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Laurel A Ralston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417190281 PECOS PAC ID: 6204095607 Enrollment ID: I20120305000162 |
| Provider Name | Linda Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316347008 PECOS PAC ID: 1658693049 Enrollment ID: I20141215001883 |
| Provider Name | Joseph Fernando Keppler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932627825 PECOS PAC ID: 0648546531 Enrollment ID: I20171020000223 |
| Provider Name | Fiovdaliza Volenik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225543051 PECOS PAC ID: 2466712872 Enrollment ID: I20180202002157 |
| Provider Name | Yassin Ismat Ghanem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689286726 PECOS PAC ID: 4688093743 Enrollment ID: I20200923002381 |
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