Individual provider Active NPI

Stacey Ilko - Hancock, PSY.D

  • Clinical Psychologist
  • Strongsville, OH
National Provider Identifier
1194778993
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6098 Issued in OH
Practice address
11925 Pearl Rd Ste 306a
Strongsville, OH 44136-3343
Phone
(404) 554-5661
Fax
(330) 776-5557
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 6098 OH Primary

Addresses

Primary practice location

11925 Pearl Rd Ste 306a
Strongsville, OH 44136-3343

Mailing address

221 W Liberty St
Medina, OH 44256-2217
Phone (330) 722-4166

Other identifiers 1

IdentifierTypeStateIssuer
2631325MedicaidOH

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
I20051107000536 OH Practitioner - Clinical Psychologist 4789602913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11925 Pearl Rd
Suite 306a
Strongsville, OH 44136-3343
Phone (440) 554-5661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6098OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Stacey a Hancock LLC Clinical CurrentSince Jul 19, 2009 Accepting new patients

Locations

11925 Pearl Rd
Ste 102A
Strongsville, OH 44136
Phone (440) 253-9141

Organizations & group practices 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1194778993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562217",
            "telephone_number": "330-722-4166",
            "fax_number": "330-725-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 PEARL RD STE 306A",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363343",
            "telephone_number": "404-554-5661",
            "fax_number": "330-776-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILKO - HANCOCK",
        "first_name": "STACEY",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2631325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.