Robert Humphries Jr, PHD | |
1201 S Main St, Suite 100, North Canton, OH 44720-4283 | |
(330) 244-8782 | |
(330) 244-8795 |
Full Name | Robert Humphries Jr |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 27 Years |
Location | 1201 S Main St, North Canton, Ohio |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447319181 | NPI | - | NPPES |
083656000 | Other | OH | MAGELLAN |
191242 | Other | OH | MHN |
341302914034 | Other | OH | CARESOURCE |
2106563 | Medicaid | OH | |
000000130016 | Other | OH | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 5492 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vista Psychological And Counseling Centre Llc | 2365517836 | 6 |
Entity Name | Vista Psychological & Counseling Centre Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558535658 PECOS PAC ID: 2365517836 Enrollment ID: O20080818000573 |
Mailing Address | Practice Location Address |
---|---|
Robert Humphries Jr, PHD 1201 South Main St., Suite 100, North Canton, OH 44720 Ph: (330) 244-8782 | Robert Humphries Jr, PHD 1201 S Main St, Suite 100, North Canton, OH 44720-4283 Ph: (330) 244-8782 |
Kara Ann Bradford, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St Ste 100, North Canton, OH 44720 Phone: 330-244-8782 | |
A Mackenzie Barickman, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4985 Searls Dr Nw, North Canton, OH 44720 Phone: 740-345-9197 | |
Eleanor Marie Hofmann, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6046 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-433-1200 Fax: 330-305-5047 | |
Anna Pemberton, M.ED., ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 250 Orion St Nw, North Canton, OH 44720 Phone: 330-966-1007 | |
Steven R Pruett, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 4985 Searls Dr Nw, North Canton, OH 44720 Phone: 330-966-0922 | |
Donna G Mills, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4985 Searls Dr Nw, North Canton, OH 44720 Phone: 330-966-0922 |