| Psych & Psych Services, Llc | |
|
750 Abbe Rd S Elyria OH 44035-7246 | |
| (440) 323-5121 | |
| (440) 323-5134 |
| Full Name | Psych & Psych Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 750 Abbe Rd S, Elyria, Ohio |
| Authorized Official Name and Position | Christina Bizup (OWNER/ PRACTICE MANAGER) |
| Authorized Official Contact | 4403235121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych & Psych Services, Llc 750 Abbe Rd S Elyria OH 44035-7246 Ph: (440) 323-5121 | Psych & Psych Services, Llc 750 Abbe Rd S Elyria OH 44035-7246 Ph: (440) 323-5121 |
| NPI Number | 1457740052 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 8325367675 |
|---|---|
| Medicare Enrollment ID | O20150507001922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457740052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 07116 (Ohio) | Primary |
| Provider Name | Jeffrey Jones |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891855482 PECOS PAC ID: 6608815337 Enrollment ID: I20050502000656 |
| Provider Name | Mara Capuano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386660785 PECOS PAC ID: 6103941570 Enrollment ID: I20100909000467 |
| Provider Name | Darci D Tellep |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457730897 PECOS PAC ID: 4183981434 Enrollment ID: I20171122000933 |
| Provider Name | Theresa Feezle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376876680 PECOS PAC ID: 7315294303 Enrollment ID: I20180723001142 |
| Provider Name | Rachael Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972855690 PECOS PAC ID: 1052656337 Enrollment ID: I20181213002523 |
| Provider Name | Allison D Ontko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326415605 PECOS PAC ID: 5890128342 Enrollment ID: I20191213002081 |
| Provider Name | Elizabeth V Barber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821580259 PECOS PAC ID: 9931533700 Enrollment ID: I20200102002612 |
| Provider Name | Marta Engle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891075669 PECOS PAC ID: 9436592979 Enrollment ID: I20240212002259 |
| Provider Name | Sara Faehnle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942585799 PECOS PAC ID: 5294179123 Enrollment ID: I20240220001386 |
| Provider Name | Penny S Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043542798 PECOS PAC ID: 4688018252 Enrollment ID: I20240222001217 |
| Provider Name | Bonnie J Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659608560 PECOS PAC ID: 4183060718 Enrollment ID: I20240306001013 |
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