| Northeast Ohio Psychological Consultants, Ltd. | |
|
839 Southwestern Run Poland OH 44514-4688 | |
| (330) 758-3819 | |
| (330) 758-4965 |
| Full Name | Northeast Ohio Psychological Consultants, Ltd. |
|---|---|
| Speciality | Clinic/Center |
| Location | 839 Southwestern Run, Poland, Ohio |
| Authorized Official Name and Position | Ronald James Lewellyn (PRESIDENT) |
| Authorized Official Contact | 3307583819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Ohio Psychological Consultants, Ltd. 839 Southwestern Run Poland OH 44514-4688 Ph: (330) 758-3819 | Northeast Ohio Psychological Consultants, Ltd. 839 Southwestern Run Poland OH 44514-4688 Ph: (330) 758-3819 |
| NPI Number | 1396797387 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 05/03/2017 |
| Medicare PECOS PAC ID | 0840264230 |
|---|---|
| Medicare Enrollment ID | O20040823000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396797387 | NPI | - | NPPES |
| 11389741 | Other | OH | CAQH PROVIDER # |
| 162919 | Other | OH | GM/PACKARD/CIGNA # |
| 227276000 | Other | OH | MAGELLAN MIS # |
| 4295 | Other | OH | OHIO LICENSE # |
| 000000248739 | Other | OH | ANTHEM # |
| 334924 | Other | OH | MHS # |
| CP03076 | Other | OH | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4295 (Ohio) | Primary |
| Provider Name | Ronald J Lewellyn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881648491 PECOS PAC ID: 4880589167 Enrollment ID: I20120111000261 |
Foundation Health Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6615 Clingan Road, Suite A, Poland, OH 44514 Phone: 330-707-1425 Fax: 330-757-2814 | |
Milton Sanchez-parodi Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1975 E Western Reserve Rd, Poland, OH 44514 Phone: 330-757-8900 Fax: 330-757-8960 | |
Poland Medical Center Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6615 Clingan Road, Poland, OH 44514 Phone: 330-707-1425 Fax: 330-757-2814 | |
Kruti Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1724 Daffodil Trl, Poland, OH 44514 Phone: 330-502-2194 | |
Valley Palliative Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3685 Hunters Hl, Poland, OH 44514 Phone: 330-757-7160 Fax: 330-757-7169 | |
Allied Medical Integration, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7067 Tiffany Blvd Ste 280, Poland, OH 44514 Phone: 330-707-4482 |