Individual provider Active NPI

Erin Marie Farrer, PH.D.

  • Clinical Psychologist
  • Fairlawn, OH
National Provider Identifier
1043525223
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6669 Issued in OH
Practice address
150 N Miller Rd Ste 450D-4
Fairlawn, OH 44333-3770
Phone
(330) 807-1569
Fax
(215) 855-5817
NPI assigned
Aug 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6669 OH Primary

Addresses

Primary practice location

150 N Miller Rd Ste 450D-4
Fairlawn, OH 44333-3770

Mailing address

150 N Miller Rd Ste 450D-4
Fairlawn, OH 44333-3770
Phone (330) 807-1569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000046 OH Practitioner - Clinical Psychologist 5193907103 Practice locations: Fairlawn, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Medical College of Ohio, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 N Miller Rd
Suite 450D 4
Fairlawn, OH 44333-3770
Phone (330) 807-1569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1043525223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N MILLER RD STE 450D-4",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333770",
            "telephone_number": "330-807-1569",
            "fax_number": "215-855-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MILLER RD STE 450D-4",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333770",
            "telephone_number": "330-807-1569",
            "fax_number": "215-855-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRER",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.