David Kotarsky, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6726 Issued in OH

Practice address

25700 Science Park Dr Ste 200
Beachwood, OH 44122-7328

Phone

(216) 831-1040

Fax

(216) 831-2667

NPI assigned

Jan 3, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy Mind Psychological Services

  • Clinical Psychologist
  • Bellaire, OH
  • NPI 1649550997
  NPD Authorized official
• Weinstein & Associates Inc.

  • Psychologist
  • Beachwood, OH
  • NPI 1942252101
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1003110230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "MC CLELLANDTOWN",
            "state": "PA",
            "postal_code": "154580096",
            "telephone_number": "412-582-6296",
            "fax_number": "855-737-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25700 SCIENCE PARK DR STE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227328",
            "telephone_number": "216-831-1040",
            "fax_number": "216-831-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTARSKY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "6726",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3134021",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CP35441",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Korland, PH.D.
• Michael P Kornick, DPT
• Kortanek Psychological Services, Inc.
• Eric Kortanek, PSY.D.
• Kate Kortanek, LPCC-S, ATR
• Carmen K Kottha, LISW
• Anju Kotwani
• George Koussa
• Kevin Kozlowski, PT
• Liubov Kozubiak

• Clinical Psychologist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.