Satori Psychological LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

7404 Issued in OH

Legal business name

SATORI PSYCHOLOGICAL LLC

Practice address

2460 Elm Rd NE Ste 900
Warren, OH 44483-2955

Phone

(330) 469-6879

Fax

(234) 600-5046

NPI assigned

Aug 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Karin J. Worrell, PHDNPI 1528393709

Title

Clinical Psychologist/Owner

Phone

(330) 469-6879

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karin Jo Worrell, PHD

  • Clinical Psychologist
  • Warren, OH
  • NPI 1528393709
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1144744905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444820212",
            "telephone_number": "330-469-6879",
            "fax_number": "234-600-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 ELM RD NE STE 900",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832955",
            "telephone_number": "330-469-6879",
            "fax_number": "234-600-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATORI PSYCHOLOGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "WORRELL",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "330-469-6879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "7404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157639",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis R Santiago Jr., RN
• Shaunquelle Sapp, LPC
• Ehab LF Sargious, MD
• William P Sarisky III, MPT,BSAS
• Roy John Sartori, D.O.
• Patrick Savage
• Michelle Lynn Savanyu, LMT, HR
• Suzanne Savickas, PHD, LPC
• John Saxon, LPN
• Aron Aja Sayre I, RN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Warren, OH
• Providers in Warren, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.