| Deer Oaks Mental Health Associates Pc | |
|
5200 Marymount Village Dr Garfield Heights OH 44125-2973 | |
| (888) 365-6271 | |
| Not Available |
| Full Name | Deer Oaks Mental Health Associates Pc |
|---|---|
| Speciality | Psychologist |
| Location | 5200 Marymount Village Dr, Garfield Heights, Ohio |
| Authorized Official Name and Position | Paul Alan Boskind (CEO) |
| Authorized Official Contact | 8883656271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Oaks Mental Health Associates Pc 7272 Wurzbach Rd Ste 601 San Antonio TX 78240-4803 Ph: (888) 365-6271 | Deer Oaks Mental Health Associates Pc 5200 Marymount Village Dr Garfield Heights OH 44125-2973 Ph: (888) 365-6271 |
| NPI Number | 1134175763 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Medicare PECOS PAC ID | 2264337013 |
|---|---|
| Medicare Enrollment ID | O20040213000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134175763 | NPI | - | NPPES |
| 084647901 | Medicaid | TX | |
| 9762001 | Medicaid | MA | |
| OVN3512 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 23669 (Texas) | Primary |
| Provider Name | Lisa Lind |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831268556 PECOS PAC ID: 7012991763 Enrollment ID: I20210408002306 |
| Provider Name | Cassandra Lanelle Plummer Collier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518303940 PECOS PAC ID: 5496997124 Enrollment ID: I20230831000898 |
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