| Laura Casey Burns, PHD | |
|
8701 Mentor Ave, Mentor, OH 44060-6103 | |
| (440) 266-0770 | |
| (440) 266-0257 |
| Full Name | Laura Casey Burns |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 20 Years |
| Location | 8701 Mentor Ave, Mentor, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578702510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6523 (Ohio) | Primary |
| 101YP2500X | Counselor - Professional | E0003397SUPV (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Behavioral Health Services, Llc | 6507921046 | 7 |
| Entity Name | Premier Behavioral Health Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184869786 PECOS PAC ID: 6507921046 Enrollment ID: O20090217000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Casey Burns, PHD 8701 Mentor Ave, Mentor, OH 44060-6103 Ph: (440) 266-0770 | Laura Casey Burns, PHD 8701 Mentor Ave, Mentor, OH 44060-6103 Ph: (440) 266-0770 |
Mrs. Maureen Ray, M.A.ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-974-5241 |
Brianne Ragazzo, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-255-4444 |
Emily Katherine Latessa, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-974-5241 |
Christina Riddell, M.A., ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6477 Center St, Mentor, OH 44060 Phone: 440-974-5438 |
Jacqueline Kampman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8979 Mentor Ave, Mentor, OH 44060 Phone: 440-974-2250 |
Kristen Merrill, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6477 Center St, Mentor, OH 44060 Phone: 440-974-5332 |
Dr. Elizabeth Blair Wyatt, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8039 Broadmoor Rd, #15, Mentor, OH 44060 Phone: 440-269-1500 Fax: 440-269-8545 |