North Coast Family Foundation

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NORTH COAST FAMILY FOUNDATION

Practice address

6902 Pearl Rd Ste 502
Middleburg Heights, OH 44130-3621

Phone

(440) 842-6867

Fax

(440) 842-8914

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles F Misja, PH.D.NPI 1851337679

Title

Executive Director

Phone

(440) 842-6867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Dba Carolyn Rodecker2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Coast Family Foundation

  dba DBA Carolyn Rodecker

  • Professional Counselor
  • Middleburg Heights, OH
  • NPI 1356718142
  NPD tax ID

Locations

Networks

• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037Plans: DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) (H6852-022-000, H6852); DEVOTED C-SNP PREMIUM 017 PA (HMO C-SNP) (H6852-017-000, H6852); DEVOTED C-SNP PREMIUM 019 PA (HMO C-SNP) (H6852-019-000, H6852); DEVOTED C-SNP PLUS 021 PA (HMO C-SNP) (H6852-021-000, H6852); DEVOTED C-SNP PREMIUM 020 PA (HMO C-SNP) (H6852-020-000, H6852); DEVOTED C-SNP PREMIUM 018 PA (HMO C-SNP) (H6852-018-000, H6852); DEVOTED C-SNP PREMIUM 016 PA (HMO C-SNP) (H6852-016-000, H6852)

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles F Misja, PH.D.

  • Psychologist
  • Parma HTS, OH
  • NPI 1851337679
  Medicare reassignment Care Compare group NPD Authorized official
• Vetrice Kotek, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Parma, OH
  • NPI 1518581792

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Michael C Misja, PH.D.

  • Psychologist
  • Parma HTS, OH
  • NPI 1104869916
  Medicare reassignment Care Compare group NPD
• Natalie Varrone, LPCC-S

  • Mental Health Counselor
  • Medina, OH
  • NPI 1215489836
  Medicare reassignment Care Compare group NPD
• Mary G Alexander, LPCC

  • Counselor
  • Parma Heights, OH
  • NPI 1679519490
  NPD (past)
• Keary Lee Carl

  • Professional Counselor
  • Cleveland, OH
  • NPI 1366800500
  NPD (past)
• Connie V Chrosniak, LPCC

  • Counselor
  • Cleveland, OH
  • NPI 1881055689
  NPD (past)
• Lisa Carole Daniels-Kravitz, LPD

  • Professional Counselor
  • Parma Heights, OH
  • NPI 1720595135
  NPD (past)
• Elizabeth Kathy Gimben, LISW

  • Counselor
  • North Olmsted, OH
  • NPI 1760428585
  NPD (past)
• Nicole Marie Holt, LPC

  • Professional Counselor
  • Parma Heights, OH
  • NPI 1235646597
  NPD (past)
• Joseph John Koch

  • Counselor
  • Parma Heights, OH
  • NPI 1134267644
  NPD (past)
• Nellie Krawczynski, LISW

  • Clinical Social Worker
  • Parma Heights, OH
  • NPI 1952683120
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1013959238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 PEARL RD STE 502",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303621",
            "telephone_number": "440-842-6867",
            "fax_number": "440-842-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 PEARL RD STE 502",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303621",
            "telephone_number": "440-842-6867",
            "fax_number": "440-842-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST FAMILY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "MISJA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-842-6867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Pathways Clinic LLC
• Ryan Joseph Newman, PA-C
• Lindsay Nguyen, LISW
• Sarah D Nicholson
• North Coast Eye Surgery LLC
• North Coast Family Foundation (DBA Carolyn Rodecker)
• North East Ohio Group Practice LLC
• North Star Medical Research, LLC
• Jonathan Issac Noury, MSPT
• Andrea Novak, C.R.N.A.

• Psychologist in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.