| North Coast Psychological Services, Llc | |
|
24500 Center Ridge Rd Bldg 4, Suite 120 Westlake OH 44145-5602 | |
| (440) 899-1300 | |
| Not Available |
| Full Name | North Coast Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 24500 Center Ridge Rd, Westlake, Ohio |
| Authorized Official Name and Position | Tina L Terebeckij (OWNER) |
| Authorized Official Contact | 9419201744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Coast Psychological Services, Llc 24500 Center Ridge Rd Bldg 4, Suite 120 Westlake OH 44145-5602 Ph: (440) 899-1300 | North Coast Psychological Services, Llc 24500 Center Ridge Rd Bldg 4, Suite 120 Westlake OH 44145-5602 Ph: (440) 899-1300 |
| NPI Number | 1013563360 |
|---|---|
| Provider Enumeration Date | 08/13/2019 |
| Last Update Date | 08/09/2021 |
| Certification Date | 08/09/2021 |
| Medicare PECOS PAC ID | 1850621350 |
|---|---|
| Medicare Enrollment ID | O20190926000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013563360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nadine Costantini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194024265 PECOS PAC ID: 2961686621 Enrollment ID: I20110405000705 |
| Provider Name | Tina Lynn Terebeckij |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548492960 PECOS PAC ID: 4789958620 Enrollment ID: I20170915003054 |
| Provider Name | Trisha Whittington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689188138 PECOS PAC ID: 3072876549 Enrollment ID: I20180416000310 |
| Provider Name | Christopher Callan Bober |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144599077 PECOS PAC ID: 3274926985 Enrollment ID: I20220201002160 |
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