Crooked River Psychology Associates Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5259 Issued in OH

Legal business name

CROOKED RIVER PSYCHOLOGY ASSOCIATES INC.

Practice address

375 Harbor CT
Avon Lake, OH 44012-2489

Phone

(216) 346-3794

NPI assigned

Feb 2, 2015

Last updated

Feb 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Ogilvie Hils, PSY.D.NPI 1962843110

Title

Owner

Phone

(216) 346-3794

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michelle Ogilvie Hils, PSY.D.

  • Clinical Psychologist
  • Avon Lake, OH
  • NPI 1962843110
  Authorized official Same address or phone

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1083004741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750834",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113750834",
            "telephone_number": "718-268-6600",
            "fax_number": "718-268-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HARBOR CT",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122489",
            "telephone_number": "216-346-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROOKED RIVER PSYCHOLOGY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "HILS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "OGILVIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-346-3794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.