| Strongsville Psychological Services, Inc. | |
|
14843 W Sprague Rd Suite A Strongsville OH 44136-1754 | |
| (440) 234-9955 | |
| (440) 234-5994 |
| Full Name | Strongsville Psychological Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 14843 W Sprague Rd, Strongsville, Ohio |
| Authorized Official Name and Position | Sandy Chahulski (ASSISTANT OFFICE MANAGER) |
| Authorized Official Contact | 4402349955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strongsville Psychological Services, Inc. 14843 W Sprague Rd Suite A Strongsville OH 44136-1754 Ph: (440) 234-9955 | Strongsville Psychological Services, Inc. 14843 W Sprague Rd Suite A Strongsville OH 44136-1754 Ph: (440) 234-9955 |
| NPI Number | 1942347661 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5193740801 |
|---|---|
| Medicare Enrollment ID | O20051012000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942347661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Anita Mary Maximin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689624330 PECOS PAC ID: 3072403146 Enrollment ID: I20040319001363 |
| Provider Name | Heather L Palisin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972619971 PECOS PAC ID: 7416951041 Enrollment ID: I20060912000662 |
| Provider Name | Mini Menon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295894129 PECOS PAC ID: 8426109430 Enrollment ID: I20090706000000 |
| Provider Name | Randall S Baenen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942360706 PECOS PAC ID: 2466477179 Enrollment ID: I20111119000028 |
| Provider Name | Terence L Drake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134295603 PECOS PAC ID: 7618139627 Enrollment ID: I20120508000295 |
| Provider Name | Marlene Kurz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457436925 PECOS PAC ID: 6305281635 Enrollment ID: I20240227001257 |
| Provider Name | Elaine Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548310048 PECOS PAC ID: 6305283755 Enrollment ID: I20240321002130 |
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