| Integrative Psychological Health, Llc | |
|
20800 Westgate Mall Suite 103 Fairview Park OH 44126-1323 | |
| (440) 915-6515 | |
| Not Available |
| Full Name | Integrative Psychological Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20800 Westgate Mall, Fairview Park, Ohio |
| Authorized Official Name and Position | Adriana Faur (PSYCHOLOGIST) |
| Authorized Official Contact | 4409156515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychological Health, Llc 20800 Westgate Mall Suite 103 Fairview Park OH 44126-1323 Ph: () - | Integrative Psychological Health, Llc 20800 Westgate Mall Suite 103 Fairview Park OH 44126-1323 Ph: (440) 915-6515 |
| NPI Number | 1134587017 |
|---|---|
| Provider Enumeration Date | 02/05/2016 |
| Last Update Date | 04/06/2016 |
| Medicare PECOS PAC ID | 6608174685 |
|---|---|
| Medicare Enrollment ID | O20160406002375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134587017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6890 (Ohio) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 6890 (Ohio) | Secondary |
| Provider Name | Klare Heston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245355940 PECOS PAC ID: 1951356534 Enrollment ID: I20050316000699 |
| Provider Name | Jennifer Kantorak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487852265 PECOS PAC ID: 7416048434 Enrollment ID: I20070806000623 |
| Provider Name | Katherine M Kratz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124174313 PECOS PAC ID: 3971692211 Enrollment ID: I20071210000156 |
| Provider Name | Adriana Faur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659576940 PECOS PAC ID: 0244538221 Enrollment ID: I20160407000277 |
| Provider Name | Thomas J Mraz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821019357 PECOS PAC ID: 5890884456 Enrollment ID: I20161024000615 |
| Provider Name | Ranada Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932560166 PECOS PAC ID: 5294016820 Enrollment ID: I20161219002870 |
| Provider Name | Michael D Joyce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043772338 PECOS PAC ID: 7911240551 Enrollment ID: I20190522000973 |
| Provider Name | Tara K Nicotra-clemente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851626261 PECOS PAC ID: 1850554080 Enrollment ID: I20190604000743 |
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