Active NPI
Paul F Becker, PH.D.
- Clinical Psychologist
- Beachwood, OH
National Provider Identifier
1154301323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1523
- Practice address
- 23360 Chagrin Blvd
Suite 110
Beachwood, OH 44122-5547 - Phone
- (216) 595-3175
- Fax
- (216) 595-3178
- NPI assigned
- Jan 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1523 | OH | Primary |
Addresses
Primary practice location
23360 Chagrin Blvd
Suite 110
Beachwood, OH 44122-5547
Mailing address
23360 Chagrin Blvd
Suite 110
Beachwood, OH 44122-5547
Phone (216) 595-3175
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0400542 | Medicaid | OH | |
| 058987 | Other | OH | VALUE OPTIONS |
| 4084445 | Other | OH | AETNA |
| 000000113490 | Other | OH | ANTHEM BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5851 Pearl Rd
Suite 305
Cleveland, OH 44130-2112
Phone (440) 845-9011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1523 | OH | MD | Kinesiotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizons Counseling Services, Inc. | Clinical | Current | Accepting new patients |
| Helene Cynthia Terezis PHD LLC | Clinical | Past | Accepting new patients |
| Patricia J Masterson PHD LLC | Past | Accepting new patients |
Locations
5851 Pearl Rd
Ste 305
Parma Heights, OH 44130
Phone (440) 845-9011
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Parma Heights, OH
- NPI 1770519092
-
- Clinical Psychologist
- Beachwood, OH
- NPI 1972051860
-
- Psychologist
- Woodmere, OH
- NPI 1306160775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310774400000",
"number": "1154301323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23360 CHAGRIN BLVD",
"address_2": "SUITE 110",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225547",
"telephone_number": "216-595-3175",
"fax_number": "216-595-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23360 CHAGRIN BLVD",
"address_2": "SUITE 110",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225547",
"telephone_number": "216-595-3175",
"fax_number": "216-595-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "PAUL",
"middle_name": "F",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-22",
"last_updated": "2011-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "1523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0400542",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "058987",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4084445",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "000000113490",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.