| Matrix Psychological Services | |
|
2 Easton Oval Ste 450 Columbus OH 43219-6036 | |
| (614) 475-9500 | |
| (614) 475-9821 |
| Full Name | Matrix Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 2 Easton Oval, Columbus, Ohio |
| Authorized Official Name and Position | Kurt Malkoff (PRESIDENT) |
| Authorized Official Contact | 6144759500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matrix Psychological Services 2 Easton Oval Ste 450 Columbus OH 43219-6036 Ph: (614) 475-9500 | Matrix Psychological Services 2 Easton Oval Ste 450 Columbus OH 43219-6036 Ph: (614) 475-9500 |
| NPI Number | 1902079478 |
|---|---|
| Provider Enumeration Date | 04/07/2008 |
| Last Update Date | 01/14/2015 |
| Medicare PECOS PAC ID | 4880750512 |
|---|---|
| Medicare Enrollment ID | O20090304000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902079478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Ohio) | Secondary |
| 103T00000X | Psychologist | (Ohio) | Primary |
| Provider Name | Theodore W Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568555043 PECOS PAC ID: 6800700238 Enrollment ID: I20031118001064 |
| Provider Name | Joan Simon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699712679 PECOS PAC ID: 0143134445 Enrollment ID: I20031119000246 |
| Provider Name | Carolyn M Mccreary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861511149 PECOS PAC ID: 1850373598 Enrollment ID: I20040604000932 |
| Provider Name | John A Bova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366538043 PECOS PAC ID: 9133285158 Enrollment ID: I20090227000000 |
| Provider Name | Shannon L Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134368996 PECOS PAC ID: 9234313248 Enrollment ID: I20110414000746 |
| Provider Name | Juliette R Savitscus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245418250 PECOS PAC ID: 2062671019 Enrollment ID: I20120309000532 |
| Provider Name | Anastasia C Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700982261 PECOS PAC ID: 3971763715 Enrollment ID: I20120402000201 |
| Provider Name | Courtney J Zeune |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851632459 PECOS PAC ID: 9436397171 Enrollment ID: I20130607000421 |
| Provider Name | Kendra A Bobulski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992066831 PECOS PAC ID: 8527290592 Enrollment ID: I20140407001545 |
| Provider Name | Kurt M Malkoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972697852 PECOS PAC ID: 6608932330 Enrollment ID: I20150108000197 |
| Provider Name | Janine Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710262837 PECOS PAC ID: 8527375344 Enrollment ID: I20150910003022 |
| Provider Name | Laurie A Greco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396908133 PECOS PAC ID: 1153348990 Enrollment ID: I20151030002062 |
| Provider Name | Jordan A Allison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376096842 PECOS PAC ID: 9436445657 Enrollment ID: I20160914000216 |
| Provider Name | Akanksha Dutt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932640240 PECOS PAC ID: 7214213925 Enrollment ID: I20170412001290 |
| Provider Name | Eric T Reinhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598142564 PECOS PAC ID: 0648544296 Enrollment ID: I20170920001008 |
| Provider Name | Arthur C Tell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376636977 PECOS PAC ID: 8022361484 Enrollment ID: I20181101000244 |
| Provider Name | Shannon D Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881726271 PECOS PAC ID: 9335486638 Enrollment ID: I20190124001687 |
| Provider Name | Lauren A Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851920490 PECOS PAC ID: 8325460835 Enrollment ID: I20200629002651 |
| Provider Name | Brenda Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942395561 PECOS PAC ID: 3870902539 Enrollment ID: I20210510000927 |
| Provider Name | Abigail H Judge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356965651 PECOS PAC ID: 8628487279 Enrollment ID: I20210511001853 |
| Provider Name | Alison Leigh Mcgucken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235896168 PECOS PAC ID: 0143614743 Enrollment ID: I20220224001934 |
| Provider Name | Inna S Fatkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477209146 PECOS PAC ID: 6204220411 Enrollment ID: I20220304001514 |
| Provider Name | Brandon G Kozar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801186291 PECOS PAC ID: 6800022245 Enrollment ID: I20231002000936 |
| Provider Name | Allison Lee Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720695760 PECOS PAC ID: 0244685485 Enrollment ID: I20231009002154 |
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