| Satori Psychological Llc | |
|
2460 Elm Rd Ne Ste 900 Warren OH 44483-2955 | |
| (330) 469-6879 | |
| (234) 600-5046 |
| Full Name | Satori Psychological Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2460 Elm Rd Ne Ste 900, Warren, Ohio |
| Authorized Official Name and Position | Karin J. Worrell (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 3304696879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Satori Psychological Llc Po Box 212 Warren OH 44482-0212 Ph: (330) 469-6879 | Satori Psychological Llc 2460 Elm Rd Ne Ste 900 Warren OH 44483-2955 Ph: (330) 469-6879 |
| NPI Number | 1144744905 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Medicare PECOS PAC ID | 5092089292 |
|---|---|
| Medicare Enrollment ID | O20170927002429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144744905 | NPI | - | NPPES |
| 0157639 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7404 (Ohio) | Primary |
| Provider Name | Karin J Worrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528393709 PECOS PAC ID: 6002113107 Enrollment ID: I20160404001514 |
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