Psychological Transitions, Inc | |
3850 E Harbor Light Landing Dr Port Clinton OH 43452-3877 | |
(419) 734-3333 | |
(877) 734-2030 |
Full Name | Psychological Transitions, Inc |
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Speciality | Psychologist |
Location | 3850 E Harbor Light Landing Dr, Port Clinton, Ohio |
Authorized Official Name and Position | Alice Randolph (CEO) |
Authorized Official Contact | 2162158000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychological Transitions, Inc 3850 E Harbor Light Landing Dr Port Clinton OH 43452-3877 Ph: (419) 734-3333 | Psychological Transitions, Inc 3850 E Harbor Light Landing Dr Port Clinton OH 43452-3877 Ph: (419) 734-3333 |
NPI Number | 1902914278 |
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Provider Enumeration Date | 08/28/2006 |
Last Update Date | 05/25/2021 |
Certification Date | 05/25/2021 |
Medicare PECOS PAC ID | 6305748187 |
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Medicare Enrollment ID | O20040122000682 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902914278 | NPI | - | NPPES |
0182403 | Medicaid | OH | |
222324000 | Other | OH | MAGELLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Peter B Casgrain |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1386691731 PECOS PAC ID: 3971570425 Enrollment ID: I20040914000487 |
Provider Name | Susan H Dorski |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1750499075 PECOS PAC ID: 1557320728 Enrollment ID: I20041005000523 |
Provider Name | Virginia E Strenger |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1326094178 PECOS PAC ID: 6709898703 Enrollment ID: I20060609000241 |
Provider Name | Robert C Miner |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1821179870 PECOS PAC ID: 9436316551 Enrollment ID: I20120201000517 |
Provider Name | Alice Randolph |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1497865885 PECOS PAC ID: 4082510490 Enrollment ID: I20120210000485 |
Provider Name | Jane E Payne |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1073621389 PECOS PAC ID: 5294992616 Enrollment ID: I20120213000513 |
Provider Name | Kathleen M Finnegan |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1598850661 PECOS PAC ID: 8022278191 Enrollment ID: I20120327000762 |
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