Unknown Individual – Psychiatry Physician, NPI 1184651903
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Chagrin Boulevard, Pepper Pike, Cuyahoga County, Ohio, United States
SUITE 301
PEPPER PIKE, OH 441224637
Phone: (216) 292-0610
Fax: (216) 292-0627
Type: Mailing
Chagrin Boulevard, Beachwood, Cuyahoga County, Ohio, 44124, United States
SUITE 301
BEACHWOOD, OH 441224639
Phone: (216) 292-0610
Fax: (216) 292-0627
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44122)
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