| Psychological Transitions, Inc | |
|
3850 E Harbor Light Landing Dr Port Clinton OH 43452-3877 | |
| (419) 734-3333 | |
| (877) 734-2030 |
| Full Name | Psychological Transitions, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 3850 E Harbor Light Landing Dr, Port Clinton, Ohio |
| Authorized Official Name and Position | Alice Randolph (CEO) |
| Authorized Official Contact | 2162158000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Transitions, Inc 3850 E Harbor Light Landing Dr Port Clinton OH 43452-3877 Ph: (419) 734-3333 | Psychological Transitions, Inc 3850 E Harbor Light Landing Dr Port Clinton OH 43452-3877 Ph: (419) 734-3333 |
| NPI Number | 1902914278 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 05/25/2021 |
| Certification Date | 05/25/2021 |
| Medicare PECOS PAC ID | 6305748187 |
|---|---|
| Medicare Enrollment ID | O20040122000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902914278 | NPI | - | NPPES |
| 0182403 | Medicaid | OH | |
| 222324000 | Other | OH | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Peter B Casgrain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386691731 PECOS PAC ID: 3971570425 Enrollment ID: I20040914000487 |
| Provider Name | Susan H Dorski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750499075 PECOS PAC ID: 1557320728 Enrollment ID: I20041005000523 |
| Provider Name | Virginia E Strenger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326094178 PECOS PAC ID: 6709898703 Enrollment ID: I20060609000241 |
| Provider Name | Robert C Miner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821179870 PECOS PAC ID: 9436316551 Enrollment ID: I20120201000517 |
| Provider Name | Alice Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497865885 PECOS PAC ID: 4082510490 Enrollment ID: I20120210000485 |
| Provider Name | Jane E Payne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073621389 PECOS PAC ID: 5294992616 Enrollment ID: I20120213000513 |
| Provider Name | Kathleen M Finnegan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598850661 PECOS PAC ID: 8022278191 Enrollment ID: I20120327000762 |
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