Anthony Michael Tarescavage, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7458 Issued in OH

Practice address

16600 W Sprague Rd Ste 260
Middleburg Heights, OH 44130-6319

Phone

(216) 714-0092

Fax

(216) 714-0092

NPI assigned

Feb 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cleveland Psychological Testing , LLC

  • Clinical Psychologist
  • Middleburg Heights, OH
  • NPI 1649922527
  NPD Authorized official

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1083245468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7828 W LIST LN",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441307129",
            "telephone_number": "440-547-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 W SPRAGUE RD STE 260",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306319",
            "telephone_number": "216-714-0092",
            "fax_number": "216-714-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARESCAVAGE",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "7458",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OH",
            "license": "7458",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monika Szwab, MHS, CCC-SLP
• Touraj Taghizadeh, MD
• David B Taha
• Kimberley A Tanner, FNP-C
• Maria Tarbuck, PT
• Ryan Taylor
• Brittany Teal
• Marisa Christine Terrigno, RN, CNP
• Robert M Thall, A.A
• The Balanced Living Center, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.