Mary Hildenbrand, PH.D., LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6580 Issued in OH

Legal business name

MARY HILDENBRAND, PH.D., LLC

Practice address

1361 Gladys Ave
Lakewood, OH 44107-2511

Phone

(216) 534-3757

NPI assigned

Jan 27, 2017

Organization subpart

No

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

Authorized official

Name

Mary Hildenbrand, PH.D.

Title

License Psychologist

Phone

(216) 534-3757

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1003353079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 GLADYS AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072511",
            "telephone_number": "216-534-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 GLADYS AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072511",
            "telephone_number": "216-534-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY HILDENBRAND, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "HILDENBRAND",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "LICENSE PSYCHOLOGIST",
        "authorized_official_telephone_number": "216-534-3757",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Marek
• Ryan Patrick Markowitz, DC
• Alejandro Martinez Jr., MSW, LISW
• Ellery Caitlin Martinko
• Emily Marvin, LSW
• Mark S Massie, DPM
• Anamaria Massier, MD
• Tracy Loye Masterson, PH.D.
• Kendra Anne Mathys, PSYD
• Megan M Matthews, LPCC

• Psychologist in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.