Samina Ahmed Jauregui, PSYD
Individual provider Active NPI Clinical Psychologist · Cleveland, OH
NPI 1104256916 · NPPES record last updated Dec 31, 2020
Key facts
- NPI
- 1104256916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- P.07819 (OH)
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (216) 286-7150
- NPI assigned
- Nov 14, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P.07819 | OH | Yes |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
11100 Euclid Ave FL Bolwell6
Cleveland, OH 44106-1716
Phone (216) 286-7150
Other practice location 1
3375 N Arlington Heights Rd
Suite J
Arlington Heights, IL 60004-7701
Phone (847) 394-4174 ext. 130
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178.008576 | Other | IL | ILLINOIS STATE LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | saminaahmed@uhps.allscriptsdirect.net |
Other providers in Cleveland, OH
- Shoaib Ahmad
- Subhan Ahmad
- Usman Ahmad
- Waheed Ahmad
- Emmanuel Ahmadu
- Hossam K Ahmed Saad
- Adeel Jabran Ahmed
- Ahmed Ibrahim Ahmed
- Amel Abdeltawab Abdo Ahmed
- Arooj Ahmed
All providers in Cleveland, OH · Clinical Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.