Individual provider Active NPI

Andrew J. Hoffman, PHD

  • Clinical Psychologist
  • Beachwood, OH
National Provider Identifier
1154462265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2066 Issued in OH
Practice address
23210 Chagrin Blvd
Suite 211
Beachwood, OH 44122-5462
Phone
(216) 464-0383
Fax
(216) 491-8018
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2066 OH Primary

Addresses

Primary practice location

23210 Chagrin Blvd
Suite 211
Beachwood, OH 44122-5462

Mailing address

23210 Chagrin Blvd
Suite 211
Beachwood, OH 44122-5462
Phone (216) 464-0383

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
I20120419000548 OH Practitioner - Clinical Psychologist 5496664930 Practice locations: Shaker Heights, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3148 Chadbourne Rd
Shaker Heights, OH 44120-2465
Phone (216) 464-0383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154462265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23210 CHAGRIN BLVD",
            "address_2": "SUITE 211",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225462",
            "telephone_number": "216-464-0383",
            "fax_number": "216-491-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23210 CHAGRIN BLVD",
            "address_2": "SUITE 211",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225462",
            "telephone_number": "216-464-0383",
            "fax_number": "216-491-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.