Thomas J Mraz, PHD | |
20800 Westgate Mall, Suite 103, Fairview Park, OH 44126-1323 | |
(831) 901-7790 | |
Not Available |
Full Name | Thomas J Mraz |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 34 Years |
Location | 20800 Westgate Mall, Fairview Park, 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 |
---|---|---|---|
1821019357 | NPI | - | NPPES |
FHC 70044F | Other | CA | MEDI-CAL GROUP PROVIDER# |
ZZZ91891Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
ZZZ92069Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
PSY 20869 | Other | CA | PSYCHOLOGIST LICENSE |
ZZZ91892Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
FHC 70042F | Other | CA | MEDI-CAL GROUP PROVIDER# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 7441 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrative Psychological Health Llc | 6608174685 | 2 |
Entity Name | Integrative Psychological Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134587017 PECOS PAC ID: 6608174685 Enrollment ID: O20160406002375 |
Mailing Address | Practice Location Address |
---|---|
Thomas J Mraz, PHD Po Box 45075, Westlake, OH 44145-0075 Ph: (831) 917-7900 | Thomas J Mraz, PHD 20800 Westgate Mall, Suite 103, Fairview Park, OH 44126-1323 Ph: (831) 901-7790 |
Christine Masulovich, EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4507 W 213th St, Fairview Park, OH 44126 Phone: 330-356-3500 | |
Deborah Staelens Rosch Eifert, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 22540 Lorain Rd, Fairview Park, OH 44126 Phone: 440-734-4037 Fax: 440-734-4710 | |
Mrs. Megan Wellman, M.A., PSY.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4320 W 220th St, Fairview Park, OH 44126 Phone: 440-356-3525 | |
Dr. Deborah A Koricke, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 20800 Westgate Professional Center, Suite 200, Fairview Park, OH 44126 Phone: 440-333-4949 Fax: 440-333-5044 | |
Suzanne Lesure, PH.D Psychologist Medicare: Medicare Enrolled Practice Location: 4475 Valley Forge Dr, Fairview Park, OH 44126 Phone: 330-418-7887 Fax: 330-776-5557 | |
Dr. Jonah Lakin, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19220 Lorain Rd Ste 203, Fairview Park, OH 44126 Phone: 216-393-7749 | |
Miss Rachel Martin, PSY. S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20800 Westgate Professional Center #200,, Fairview Park, OH 44126 Phone: 440-333-4949 |