Individual provider Active NPI

Paul F Becker, PH.D.

  • Clinical Psychologist
  • Beachwood, OH
National Provider Identifier
1154301323
Registry record updated Jul 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1523 Issued in OH
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

Updated by the provider on Jul 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0400542MedicaidOH
058987OtherOHVALUE OPTIONS
4084445OtherOHAETNA
000000113490OtherOHANTHEM 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110610000706 OH Practitioner - Clinical Psychologist 9133306582 Reassigns benefits to 1 organization
Practice locations: Beachwood, OH

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
Horizons Counseling Services, Inc.Group PAC ID 0244271971, 7 clinicians

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

LicenseStateTypeSpecialty
1523OHMDKinesiotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Counseling Services, Inc. Clinical CurrentSince Jun 1, 2016 Accepting new patients
Helene Cynthia Terezis PHD LLC Clinical Past Accepting new patients
Patricia J Masterson PHD LLC PastSince Jun 1, 2010 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.

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

Verify at the official NPI Registry.