Active NPI
Michael J Esson, PH.D.
- Psychologist
- Brunswick, OH
National Provider Identifier
1013007426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4160
- Practice address
- 1324 Pearl Rd
Suite M4
Brunswick, OH 44212-2802 - Phone
- (330) 225-5561
- NPI assigned
- Oct 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4160 | OH | Primary |
Addresses
Primary practice location
1324 Pearl Rd
Suite M4
Brunswick, OH 44212-2802
Mailing address
PO Box 22958
Cleveland, OH 44122-0958
Phone (216) 595-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0748561 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4160 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013007426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22958",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441220958",
"telephone_number": "216-595-9600",
"fax_number": "216-595-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 PEARL RD",
"address_2": "SUITE M4",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442122802",
"telephone_number": "330-225-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSON",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0748561",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.