Active NPI
Kent E Rozel, PH.D., LLC
- Clinical Psychologist
- Beachwood, OH
National Provider Identifier
1225670706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- KENT E ROZEL, PH.D., LLC
- Practice address
- 2000 Auburn Dr Ste 200
Beachwood, OH 44122-4328 - Phone
- (216) 291-1845
- NPI assigned
- Oct 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kent Rozel, PH.D.
- Title
- Clinical Psychologist
- Phone
- (216) 291-1845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
2000 Auburn Dr Ste 200
Beachwood, OH 44122-4328
Mailing address
8340 Kinsman Rd
Novelty, OH 44072-9577
Phone (216) 291-1845
Other practice location 1
34950 Chardon Rd Ste 202
Willoughby Hills, OH 44094-9162
Phone (440) 510-5100
Other practice location 2
8340 Kinsman Rd
Novelty, OH 44072-9577
Phone (216) 291-1845
Other practice location 3
6100 Oak Tree Blvd Ste 200
Independence, OH 44131-6914
Phone (216) 291-1845
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000295650 | Other | OH | ANTHEM |
| 0966674 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
34950 Chardon Rd
Ste 202
Willoughby Hills, OH 44094
Phone (440) 477-1007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576800000000",
"number": "1225670706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8340 KINSMAN RD",
"city": "NOVELTY",
"state": "OH",
"postal_code": "440729577",
"telephone_number": "216-291-1845",
"fax_number": "440-510-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 AUBURN DR STE 200",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224328",
"telephone_number": "216-291-1845"
}
],
"practiceLocations": [
{
"address_1": "34950 Chardon Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Willoughby Hills",
"state": "OH",
"postal_code": "440949162",
"country_code": "US",
"telephone_number": "440-510-5100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8340 Kinsman Rd",
"address_purpose": "LOCATION",
"city": "Novelty",
"state": "OH",
"postal_code": "440729577",
"country_code": "US",
"telephone_number": "216-291-1845",
"fax_number": "440-510-5151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6100 Oak Tree Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "OH",
"postal_code": "441316914",
"country_code": "US",
"telephone_number": "216-291-1845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KENT E ROZEL, PH.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-16",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A",
"authorized_official_last_name": "ROZEL",
"authorized_official_first_name": "KENT",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "216-291-1845",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000295650",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0966674",
"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 Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.