North Coast Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NORTH COAST PSYCHOLOGICAL SERVICES, LLC

Practice address

24500 Center Ridge Rd
BLDG 4, Suite 120
Westlake, OH 44145-5602

Phone

(440) 899-1300

NPI assigned

Aug 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Tina L Terebeckij, PSYDNPI 1548492960

Title

Owner

Phone

(941) 920-1744

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina Lynn Terebeckij

  • Psychologist
  • Westlake, OH
  • NPI 1548492960
  Medicare reassignment Authorized official
• Nadine R. Costantini, LISW

  • Clinical Social Worker
  • Mentor, OH
  • NPI 1194024265
  Medicare reassignment
• Trisha Lynn Whittington

  • Clinical Social Worker
  • Willoughby, OH
  • NPI 1689188138
  Medicare reassignment
• Christopher Callan Bober, LP

  • Clinical Psychologist
  • Ferndale, MI
  • NPI 1144599077

  OH

  Medicare reassignment

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1013563360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD",
            "address_2": "BLDG 4, SUITE 120",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455602",
            "telephone_number": "440-899-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD",
            "address_2": "BLDG 4, SUITE 120",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455602",
            "telephone_number": "440-899-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "TEREBECKIJ",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-920-1744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Taylor Nock
• Richard Thomas Norcross, DDS
• Molly Normandin, SLP-CF
• North Coast Institute of Diabetes and Endocrinology, Inc.
• North Coast Neurology, Inc.
• North Ohio Endoscopy Center LLC
• North Ohio Gastroenterology
• North Ohio Heart Center, Inc
• North Ohio Medical Imaging
• North Shore Anesthesia Limited, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.