Psychological Health Services | |
8472 Cotter St Lewis Center OH 43035-7139 | |
(614) 430-9697 | |
(614) 430-9837 |
Full Name | Psychological Health Services |
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Speciality | Psychologist |
Location | 8472 Cotter St, Lewis Center, Ohio |
Authorized Official Name and Position | Vijaykumar Balraj (OWNER) |
Authorized Official Contact | 6144309697 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Psychological Health Services 8472 Cotter St Lewis Center OH 43035-7139 Ph: (614) 430-9697 | Psychological Health Services 8472 Cotter St Lewis Center OH 43035-7139 Ph: (614) 430-9697 |
NPI Number | 1346291085 |
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Provider Enumeration Date | 05/15/2006 |
Last Update Date | 03/08/2019 |
Medicare PECOS PAC ID | 3971514332 |
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Medicare Enrollment ID | O20060522000173 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346291085 | NPI | - | NPPES |
000000323495 | Other | OH | BCBS # |
2219227 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Vijaykumar B Balraj |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1376592790 PECOS PAC ID: 5395787055 Enrollment ID: I20050524000490 |
Provider Name | Jinhui Wang |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1588913495 PECOS PAC ID: 0749427995 Enrollment ID: I20130508000281 |
Provider Name | Sherry Martindell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1881857613 PECOS PAC ID: 2860778255 Enrollment ID: I20170419002838 |
Provider Name | Dru Garcia |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1568971570 PECOS PAC ID: 7416207311 Enrollment ID: I20180913000689 |
Provider Name | Patrick Henry |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1427608207 PECOS PAC ID: 0941640783 Enrollment ID: I20240426002955 |
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