Associated Bay Area Counselors, Inc.
Organization Active NPI Psychologist · Sandusky, OH
NPI 1184894099 · NPPES record last updated Mar 6, 2008
Key facts
- NPI
- 1184894099
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- 4103 (OH)
- Legal business name
- ASSOCIATED BAY AREA COUNSELORS, INC.
- Practice address
- 1319 Hull Rd
Sandusky, OH 44870-6062 - Phone
- (419) 625-1686
- Fax
- (419) 433-9286
- NPI assigned
- Mar 6, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Richard Paulsen, .PH.D.
- Title
- Chief Executive Officer
- Phone
- (419) 625-1686
Practitioners 1
-
Richard Alan Paulsen, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130830000330 | OH | Part B Supplier - Clinic/Group Practice | 5294978722 |
Receives reassigned benefits from 1 practitioner Practice locations: Sandusky, OH |
National Provider Directory
Locations
1319 Hull Rd
Sandusky, OH 44870
Phone (419) 625-1686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 4103 | OH | Yes |
Addresses
Primary practice location
1319 Hull Rd
Sandusky, OH 44870-6062
Mailing address
1319 Hull Rd
Sandusky, OH 44870-6062
Phone (419) 625-1686
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.