| Comprehensive Psychological Services, Ltd. | |
|
845 County House Ln Marietta OH 45750-8015 | |
| (203) 901-2493 | |
| Not Available |
| Full Name | Comprehensive Psychological Services, Ltd. |
|---|---|
| Speciality | Psychologist |
| Location | 845 County House Ln, Marietta, Ohio |
| Authorized Official Name and Position | Kevin R Schmucker (OWNER) |
| Authorized Official Contact | 2039012493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychological Services, Ltd. 93 Jacobs Cemetery Rd Lucasville OH 45648-8716 Ph: (203) 901-2493 | Comprehensive Psychological Services, Ltd. 845 County House Ln Marietta OH 45750-8015 Ph: (203) 901-2493 |
| NPI Number | 1831388701 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 4082711452 |
|---|---|
| Medicare Enrollment ID | O20080703000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831388701 | NPI | - | NPPES |
| DG3794 | Other | RRMCR | |
| 2836622 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kevin R. Schmucker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851441703 PECOS PAC ID: 9638138563 Enrollment ID: I20041006001347 |
| Provider Name | Robert Everett Leeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881657237 PECOS PAC ID: 4082717491 Enrollment ID: I20170123002024 |
| Provider Name | Ray Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184277865 PECOS PAC ID: 2668701251 Enrollment ID: I20190906002085 |
| Provider Name | Gina Rigsbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598387425 PECOS PAC ID: 5496167934 Enrollment ID: I20201207002815 |
| Provider Name | Rachael L Cottrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609488592 PECOS PAC ID: 1557775624 Enrollment ID: I20210201001695 |
| Provider Name | Carla Y Pottmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790355154 PECOS PAC ID: 3173928215 Enrollment ID: I20210826003554 |
| Provider Name | Christina Sigman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932719747 PECOS PAC ID: 1254758576 Enrollment ID: I20220329001738 |
| Provider Name | Christina K Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417531799 PECOS PAC ID: 1254733637 Enrollment ID: I20220630002166 |
| Provider Name | Amber Whitlatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891406401 PECOS PAC ID: 4688048663 Enrollment ID: I20230314001175 |
| Provider Name | Angela Jean Boedeker (eberhard) |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659966042 PECOS PAC ID: 1456707132 Enrollment ID: I20231101001766 |
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