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190 Currie Hall Pkwy Kent OH 44240-4312 | |
| (330) 673-5812 | |
| (330) 673-7162 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 190 Currie Hall Pkwy, Kent, Ohio |
| Authorized Official Name and Position | Leslie E Mcclure (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 3306735812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
190 Currie Hall Pkwy Kent OH 44240-4312 Ph: (330) 673-5812 | 190 Currie Hall Pkwy Kent OH 44240-4312 Ph: (330) 673-5812 |
| NPI Number | 1740358902 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 07/05/2016 |
| Medicare PECOS PAC ID | 5799748919 |
|---|---|
| Medicare Enrollment ID | O20041109000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740358902 | NPI | - | NPPES |
| 0102952 | Medicaid | OH | |
| 005334187364906 | Other | CIGNA | |
| 2522603 | Medicaid | OH | |
| 774583000 | Other | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Stacy Aine Simera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548273675 PECOS PAC ID: 1850365909 Enrollment ID: I20040824000675 |
| Provider Name | Margaret M Ina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245308493 PECOS PAC ID: 2466420864 Enrollment ID: I20040923000303 |
| Provider Name | Cathy C Kane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942378104 PECOS PAC ID: 7911960984 Enrollment ID: I20041110000648 |
| Provider Name | Avery Zook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821199092 PECOS PAC ID: 1254394224 Enrollment ID: I20041110000673 |
| Provider Name | Diana Barkman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235292020 PECOS PAC ID: 5193742930 Enrollment ID: I20051031000680 |
| Provider Name | Leslie Elaine Mcclure |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215906474 PECOS PAC ID: 0749297356 Enrollment ID: I20060307000446 |
| Provider Name | September Sloane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417194440 PECOS PAC ID: 9032276936 Enrollment ID: I20090320000139 |
| Provider Name | Karla Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184989568 PECOS PAC ID: 6305082587 Enrollment ID: I20130412000284 |
| Provider Name | Elizabeth A Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487058111 PECOS PAC ID: 9335461433 Enrollment ID: I20141126001742 |
| Provider Name | Kristin Noel Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750674511 PECOS PAC ID: 4183905235 Enrollment ID: I20170103000896 |
| Provider Name | Radinka Samardzic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548742430 PECOS PAC ID: 0345672887 Enrollment ID: I20191121000719 |
| Provider Name | Rebecca Blackwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942642087 PECOS PAC ID: 3375778483 Enrollment ID: I20231018003383 |
| Provider Name | Carl James Vondracek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487170163 PECOS PAC ID: 1951751965 Enrollment ID: I20240103000153 |
| Provider Name | Candice Laraine Drenski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649615436 PECOS PAC ID: 5597102756 Enrollment ID: I20240322003199 |
| Provider Name | Mitchell Harmon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679081814 PECOS PAC ID: 0345688792 Enrollment ID: I20240403003370 |
Redmond And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 W Main St, Suite 102, Kent, OH 44240 Phone: 330-678-9210 Fax: 330-676-1199 | |
Jill L. Jividen Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E Main St Fl 2, Kent, OH 44240 Phone: 330-414-5652 | |
Coleman Professional Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5982 Rhodes Rd, Kent, OH 44240 Phone: 330-673-1347 Fax: 330-678-3677 | |
Caritas Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Picadilly Ct, Kent, OH 44240 Phone: 330-630-3210 | |
Cathy C. Kane, Ph.d Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Devon Pl, Suite 230, Kent, OH 44240 Phone: 330-673-9111 | |