| Kaitlyn Cassidy Llc | |
|
3500 Lorain Ave Ste 300 Cleveland OH 44113-3726 | |
| (440) 864-3353 | |
| Not Available |
| Full Name | Kaitlyn Cassidy Llc |
|---|---|
| Speciality | Counselor |
| Location | 3500 Lorain Ave Ste 300, Cleveland, Ohio |
| Authorized Official Name and Position | Kaitlyn Cassidy (OWNER) |
| Authorized Official Contact | 4408643353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Cassidy Llc 3122 W 16th St Cleveland OH 44109-1737 Ph: (440) 864-3353 | Kaitlyn Cassidy Llc 3500 Lorain Ave Ste 300 Cleveland OH 44113-3726 Ph: (440) 864-3353 |
| NPI Number | 1538932785 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 3577007020 |
|---|---|
| Medicare Enrollment ID | O20240626000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538932785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Peter Arian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205582111 PECOS PAC ID: 6002258027 Enrollment ID: I20240523003753 |
| Provider Name | Kate Nagy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467838136 PECOS PAC ID: 3274077219 Enrollment ID: I20240701002620 |
| Provider Name | Seth Takacs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386120533 PECOS PAC ID: 1153869086 Enrollment ID: I20240809003193 |
| Provider Name | Rebecca Ann Serfozo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336620368 PECOS PAC ID: 3274072236 Enrollment ID: I20240822002335 |
| Provider Name | Jasmine Spradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053882084 PECOS PAC ID: 0042750333 Enrollment ID: I20240913000266 |
Jordan Selman Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 11 Baker Blvd Suite 204 Pmb 230, Cleveland, OH 44120 Phone: 216-309-0697 | |
Lutheran Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1730 W 25th St, Cleveland, OH 44113 Phone: 216-696-4300 | |
Knight Counseling Clinic, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25901 Emery Rd, #108, Cleveland, OH 44128 Phone: 440-429-3027 Fax: 216-291-0681 | |
New Directions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30800 Chagrin Blvd, Cleveland, OH 44124 Phone: 216-591-0324 | |
Northeast Reintegration Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2675 E 30th St, Cleveland, OH 44115 Phone: 216-771-6460 Fax: 216-623-0992 | |
Eldercare Services Institute, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11890 Fairhill Rd, Cleveland, OH 44120 Phone: 216-791-8000 Fax: 216-373-1816 | |
The Metrohealth System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Drive, Cleveland, OH 44109 Phone: 216-957-2442 Fax: 216-957-2404 |