| Peter Arian Llc | |
|
3500 Lorain Ave Ste 300 Cleveland OH 44113-3726 | |
| (216) 315-2609 | |
| Not Available |
| Full Name | Peter Arian Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3500 Lorain Ave Ste 300, Cleveland, Ohio |
| Authorized Official Name and Position | Peter Arian (OWNER) |
| Authorized Official Contact | 2163152609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Arian Llc 3500 Lorain Ave Ste 300 Cleveland OH 44113-3726 Ph: () - | Peter Arian Llc 3500 Lorain Ave Ste 300 Cleveland OH 44113-3726 Ph: (216) 315-2609 |
| NPI Number | 1184324287 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 5193167112 |
|---|---|
| Medicare Enrollment ID | O20240522002604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184324287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Peter Arian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205582111 PECOS PAC ID: 6002258027 Enrollment ID: I20240523003753 |
| Provider Name | Max Balakoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407619281 PECOS PAC ID: 8921440496 Enrollment ID: I20240529003062 |
| Provider Name | Re'ana Dixon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780247403 PECOS PAC ID: 0143662619 Enrollment ID: I20240529003264 |
| Provider Name | Kristy Holt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932731353 PECOS PAC ID: 8628510724 Enrollment ID: I20240604003582 |
| Provider Name | Jessica N Acord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679102073 PECOS PAC ID: 0244772283 Enrollment ID: I20240606000478 |
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