DR STACEY A HANCOCK LLC – Clinical Psychologist, NPI 1083948533
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR STACEY A HANCOCK LLC
PO BOX 5254
POLAND, OH 445140254
Phone: (330) 520-2221
Fax: (330) 776-5557
Type: Mailing
11925 PEARL RD STE 306A
STRONGSVILLE, OH 441363343
Phone: (440) 554-5661
Fax: (330) 776-5557
Type: Location
EL-BOX, Konotopa, gmina Ożarów Mazowiecki, Warsaw West County, Masovian Voivodeship, Poland
POLAND, OH 445147397
Phone: (330) 758-2775
Fax: (330) 758-2787
Type: Mailing
11925, Pearl Road, Strongsville, Cuyahoga County, Ohio, 44136, United States
SUITE 102A
STRONGSVILLE, OH 441363353
Phone: (440) 554-5661
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (646 days ago).
Enrollment records
1
Earliest due date
2024-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20091002000228 | O | Clinic/Group Practice | OH | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44514)
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