| North Coast Mental Health Associates Inc. | |
|
3690 Orange Pl 430 Beachwood OH 44122-4464 | |
| (216) 464-5330 | |
| Not Available |
| Full Name | North Coast Mental Health Associates Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3690 Orange Pl, Beachwood, Ohio |
| Authorized Official Name and Position | Caren Wishnek (PRACTICE MANAGER) |
| Authorized Official Contact | 2164645330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Coast Mental Health Associates Inc. 3690 Orange Pl 430 Beachwood OH 44122-4464 Ph: (216) 464-5330 | North Coast Mental Health Associates Inc. 3690 Orange Pl 430 Beachwood OH 44122-4464 Ph: (216) 464-5330 |
| NPI Number | 1033219225 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 11/28/2016 |
| Medicare PECOS PAC ID | 5597661439 |
|---|---|
| Medicare Enrollment ID | O20031210000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033219225 | NPI | - | NPPES |
| 0151231 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
| Provider Name | Michael F Pavlak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235223173 PECOS PAC ID: 4880590769 Enrollment ID: I20031210001110 |
| Provider Name | Aaron T Billowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659465532 PECOS PAC ID: 5597752055 Enrollment ID: I20040428000942 |
| Provider Name | Diane L Wetzig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467413187 PECOS PAC ID: 1254369788 Enrollment ID: I20050727000265 |
| Provider Name | Nan Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396816625 PECOS PAC ID: 3577653708 Enrollment ID: I20071212000196 |
| Provider Name | Mackenzie A Varkula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891973608 PECOS PAC ID: 6204964331 Enrollment ID: I20100512000055 |
| Provider Name | Bonnie A Frankel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104935113 PECOS PAC ID: 5193992816 Enrollment ID: I20120120000772 |
| Provider Name | Robin B Zoss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831298512 PECOS PAC ID: 0941467989 Enrollment ID: I20120202000945 |
| Provider Name | Brooke Wolf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801980701 PECOS PAC ID: 1658277538 Enrollment ID: I20120328000926 |
| Provider Name | Alex S Maryles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932523834 PECOS PAC ID: 2264865310 Enrollment ID: I20191204002023 |
| Provider Name | Daniel Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538693288 PECOS PAC ID: 6103192844 Enrollment ID: I20210827001713 |
| Provider Name | Michele Fried |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750871430 PECOS PAC ID: 3678969904 Enrollment ID: I20220413000867 |
| Provider Name | Bethamie L Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497087704 PECOS PAC ID: 2769858422 Enrollment ID: I20221020001709 |
| Provider Name | Taryn J Ponsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053532663 PECOS PAC ID: 4082059704 Enrollment ID: I20240304001428 |
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