| Ridley Behavioral Health | |
|
5 Severance Cir Ste 709 Cleveland Hts OH 44118-1590 | |
| (216) 570-2798 | |
| Not Available |
| Full Name | Ridley Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 5 Severance Cir Ste 709, Cleveland Hts, Ohio |
| Authorized Official Name and Position | Josephine Ridley (PRESIDENT/OWNER) |
| Authorized Official Contact | 2165702798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridley Behavioral Health Po Box 181583 Cleveland Hts OH 44118-7583 Ph: (216) 570-2798 | Ridley Behavioral Health 5 Severance Cir Ste 709 Cleveland Hts OH 44118-1590 Ph: (216) 570-2798 |
| NPI Number | 1679162697 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Medicare PECOS PAC ID | 6305251869 |
|---|---|
| Medicare Enrollment ID | O20210215000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679162697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Josephine A Ridley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033129994 PECOS PAC ID: 1254419682 Enrollment ID: I20080424000569 |
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