| Mrs Dori J Supan, LISW | |
|
24400 Highpoint Rd, Ste 6, Beachwood, OH 44122 | |
| (216) 831-6550 | |
| (216) 831-6133 |
| Full Name | Mrs Dori J Supan |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 51 Years |
| Location | 24400 Highpoint Rd, Beachwood, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063526846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | I002766 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Psychiatric Services, Inc. | 5395710230 | 6 |
| Entity Name | Comprehensive Psychiatric Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740393545 PECOS PAC ID: 5395710230 Enrollment ID: O20040901001410 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Dori J Supan, LISW 24400 Highpoint Rd, Ste 6, Beachwood, OH 44122 Ph: (216) 831-6550 | Mrs Dori J Supan, LISW 24400 Highpoint Rd, Ste 6, Beachwood, OH 44122 Ph: (216) 831-6550 |
Dr. Harold Mars, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3609 Park East Dr, Suite 517, Beachwood, OH 44122 Phone: 216-831-6085 Fax: 216-831-6172 | |
Dr. Stephen B. Zinn, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 29425 Chagrin Blvd, Suite 301, Beachwood, OH 44122 Phone: 216-292-0610 Fax: 216-292-0627 | |
Benjamin A. Spinner, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 29425 Chagrin Blvd, Suite 301, Beachwood, OH 44122 Phone: 216-292-0610 | |
Dr. Jonathan W Sirkin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 24200 Chagrin Blvd, The Office Place, Beachwood, OH 44122 Phone: 216-283-7690 Fax: 216-766-6084 | |
Dr. Jennifer T. Rosenberg, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3927 W Ash Ln, Beachwood, OH 44122 Phone: 216-839-3104 Fax: 216-839-3123 | |
Robert Taylor Segraves, MD, PH.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 23230 Chagrin Blvd, Suite 350, Beachwood, OH 44122 Phone: 216-831-2900 |